Quality Improvement Organization Manual (Pub. 100-10), Ch. 5 § 5035.5
Discontinuation of Immediate Advocacy
5035.5 – Discontinuation of Immediate Advocacy
(Rev. 28, Issued: 10-21-16, Effective: 10-21-16, Implementation: 10-21-16)
Procedures and Requirements for Discontinuation.
If, at any point, the Immediate Advocacy process is terminated or discontinued, the QIO must:
• Inform the beneficiary of his/her right to file a written complaint in accordance with
§5040, Beneficiary Complaint Review; and
• Notify all parties that the Immediate Advocacy process has been discontinued
Reasons for Discontinuation include the following:
• The beneficiary expresses his/her desire to stop pursuing a complaint through the
Immediate Advocacy process;
• The QIO becomes aware of additional information that would render the complaint
ineligible for Immediate Advocacy; or
• The provider and/or practitioner revokes consent to participate in Immediate Advocacy.