Forwarding SA Certification to RO

2760 - Forwarding SA Certification to RO (Rev. 201, Issued: 06-19-20, Effective: 06-19-20, Implementation: 07-27-20) Only CMS makes the determination to approve or deny a provider or supplier (except for FQHCs) for participation in the Medicare program. The SA transmittal of its findings is a recommendation to the RO or MAC for the certification action. The SA certification is used as the primary item of evidence to support decisions to approve or deny Medicare provider participation or coverage of provider or supplier services. The SA sends the entire certification packet to the RO or MAC for any action other than a routine periodic recertification. In routine recertifications, the SA inputs the data into the national data system and, as appropriate, forwards an abbreviated packet of documents to the RO and MAC. The SA completes the appropriate provider worksheet to distill essential information from the survey report for input into the national data system. Each provider worksheet is identified by the same form number as the corresponding survey report. The alpha prefix tag number assigned to each survey report data item is listed on the appropriate provider worksheet. The SA completes all pertinent documentation relating to certification actions for each provider/supplier or action category and forwards it to the RO or MAC (or State Medicaid Administrator (SMA), as appropriate) no later than 45 calendar days after the exit interview.