State Operations Manual (Pub. 100-07), Ch. 4 § 4205
Materials Forwarded to RO
4205 - Materials Forwarded to RO
(Rev. 1, 05-21-04)
The SA forwards all documents supporting its certifications to the RO as outlined in
§2760. To retain a copy of the file, the SA duplicates or obtains multiple copies of the
material. When CMS forms are copied, the SA sends the original to the RO. Copies of
other material sent to the RO must be legible and must contain the appropriate
signature(s), if required.
The files in the RO may be needed to substantiate terminations, reconsiderations,
hearings, and appeals. The RO may ask the SA to supply supplementary evidence to
support the decisions in these cases. However, whenever an appeal action is pending and
the SA obtains additional evidence relating to the certification deficiencies, it
immediately forwards copies of this material to the RO without waiting for a request.