SUBJECT: Clarification regarding Nurse Aide Training and Competency Evaluation Program Waiver and Appeal Requirements.

Attached is the MEMO and the Grid for the waiver and appeals process.

The MEMO summarizes if a facility loses the authority to operate a NATCEP/CEP program they may regain the ability to operate their program prior to end the 2-year ban through the following:

1. State Authority to Waive NATCEP/CEP disapproval

2. CMS Regional Office authority to waive disapproval of NATCEP/CEP due to CMPs

3. Appeal Rights in Cases due to Extended/Partial Survey

4. Other Considerations such as IDR process

SC18-02.02.NATCEP Waivers and Appeals-Attachment

SC18-02.01.NATCEP Waivers and Appeals