State Operations Manual (Pub. 100-07), Ch. 3 § 3256
RO Provision of Information to Accrediting Organizations
3256 - RO Provision of Information to Accrediting Organizations
(Rev. 123, Issued: 10-03-14, Effective: 10-03-14, Implementation: 10-03-14)
The RO must provide the AOs copies of every Form CMS 2567 issued to a deemed
facility accredited by the AO(s) in a timely manner, i.e., as soon as possible after issuance
to the provider/supplier. ROs have the option of sending this material to AOs
electronically rather than mailing hard copies. Copies to be provided include all Form
CMS 2567s resulting from a SA validation survey, including both representative sample
and substantial allegation (complaint) surveys, as well as all Form CMS 2567s issued
after the provider’s or supplier’s deemed status has been removed and the facility has
been placed under SA jurisdiction until it can achieve substantial compliance. Copies of
any correspondence sent to the provider or supplier related to a Form CMS 2567 must
also be provided to the applicable AO(s), as well as correspondence concerning the status
of the provider’s supplier’s Medicare provider agreement or supplier approval (e.g.,
issuance of an agreement/approval with CCN, notice of potential termination of the
agreement/approval, notice of termination of the agreement/approval, etc.).
Note that a provider or supplier may be accredited under a CMS-approved Medicare
accreditation program by more than one AO; in such cases all AOs must receive copies.
Forward copies to the applicable AO(s) using the contact information found at
https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/SurveyCertificationGenInfo/Downloads/AOContactInformation.pdf
Where RO resources and workload resources permit, the RO should consider sending
copies of this information electronically to the AO contact’s e-mail address.