SOM - Chapter 5

State Operations Manual: Chapter 5 - Complaint Procedures

 
 Date PostedPublication
3/31/2009 §5000 - Management of Complaints and Incidents 
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3/31/2009 §5010 - General Intake Process 
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3/31/2009 §5050 - CMS Regional Office Responsibility for Monitoring SA Management of Complaints and Incidents 
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3/31/2009 §5060 - ASPEN Compliants / Incidents Tracking System (ACTS) 
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1/9/2015 §5070 - Priority Assignment for Nursing Homes, Deemed and Non-Deemed Non-Long Term Care Providers / Suppliers, and EMTALA 
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1/9/2015 §5075 - Priority Definitions for Nursing Homes, Deemed and Non-Deemed Non-Long Term Care Providers / Suppliers, and EMTALA 
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3/31/2009 §5077 - State Monitoring Visits 
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1/9/2015 §5078 - Pre-Survey Activities 
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1/9/2015 §5079 - Entrance Conference - Non-Long Term Care Providers / Suppliers 
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6/13/2016 §5080 - Investigation Findings and Reports 
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1/9/2015 §5100 - Investigation of Complaints for Deemed Providers / Suppliers 
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9/3/2013 §5110 - Post Survey Procedures 
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3/31/2009 §5120 - Life Safety Code Guidance for Deemed Providers / Suppliers 
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9/3/2013 §5130 - Deemed Provider / Supplier Refusal of Complaint Investigation Surveys 
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9/3/2013 §5140 - Complaints Involving HIV-Infected Individuals 
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9/3/2013 §5150 - Investigating Complaints Involving ESRD Services Provided by Deemed Hospitals or CAHs 
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9/3/2013 §5160 - Investigating Complaints Against ESRD Suppliers 
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9/3/2013 §5170 - Hospital Restraints / Seclusion Death Reporting and Investigation 
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3/31/2009 §5200 - Investigating Complaints for Non-Deemed Providers / Suppliers, Excluding Nursing Homes (SNFs / NFs) 
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3/31/2009 §5210 - Processing of Complaints Originating with or Investigated by the RO 
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3/31/2009 §5220 - Investigation Conducted Directly by the RO 
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3/31/2009 §5230 - Special RO Processing 
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3/31/2009 §5240 - Complaints - HHA Hotline 
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6/13/2016 §5300 - Investigation of Complaints for Nursing Homes 
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3/31/2009 §5310 - Action on Complaints of Resident Neglect and Abuse, and Misappropriation of Resident Property 
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3/31/2009 §5320 - Reporting Findings of Abuse, Neglect, or Misappropriation of Property to the Nurse Aide Registry 
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3/31/2009 §5330 - Reporting Abuse to Law Enforcement and the Medicaid Fraud Control Unit 
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6/13/2016 §5340 - Post-Survey Certifications Actions for Nursing Homes 
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3/31/2009 §5350 - Data Entry 
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3/31/2009 §5360 - Processing of Complaints Originating with or Investigated by the CMS RO 
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3/31/2009 §5370 - Pre-Investigation Actions on Allegations Originating Through the RO 
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3/31/2009 §5380 - RO Processing of RO Investigated Complaints 
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3/31/2009 §5390 - RO Oversight of Complaint-Related Processes 
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3/31/2009 §5400 - Investigations Involving Alleged Emergency Medical Treatment and Labor Act (EMTALA) Violations 
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3/31/2009 §5410 - EMTALA and Born-Alive Infants Protection Act of 2002 
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3/31/2009 §5420 - Basis for Investigation 
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3/31/2009 §5430 - RO Direction of Investigation 
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3/31/2009 §5440 - Conducting an Investigation 
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3/31/2009 §5450 - Forwarding Report of Investigation to the RO 
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3/31/2009 §5460 - RO Review of Investigation 
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3/31/2009 §5465 - Procedures for the 5-Day QIO Review of Alleged Violations of 42 CFR 489.24 
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3/31/2009 §5470 - Termination Procedures for EMTALA Violations 
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3/31/2009 §5480 - Procedures for QIO Review of Confirmed EMTALA Violation 
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3/31/2009 §5500 - Complaints Involving Unaccredited Laboratories 
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3/31/2009 §5510 - CLIA-Exempt Laboratory Complaint Investigations - General 
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3/31/2009 §5520 - Review of CLIA-Exempt Laboratory Complaints 
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3/31/2009 §5530 - Conducting Complaint Investigations and Surveys for CLIA-Exempt Laboratories 
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3/31/2009 §5540 - Complaint Investigations and Surveys of Accredited Laboratories Under CLIA 
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3/31/2009 §5550 - RO Direction of Complaint Investigation of an Accredited Laboratory 
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3/31/2009 §5560 - Conducting Complaint Survey of an Accredited Laboratory 
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3/31/2009 §5570 - Forwarding Investigation Report to RO 
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3/31/2009 §5580 - Accredited Laboratory Found in Compliance Following a Complaint Survey 
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3/31/2009 §5590 - Accredited Laboratory Found Not in Condition-Level Compliance Following a Complaint Survey 
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