Notification to the CMS Location

5010.3 – Notification to the CMS Location (Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26) 1 – Notification to the CMS location The SA immediately forwards allegations involving the following to the CMS location: • Deemed providers/suppliers; • Hospital and psychiatric residential treatment facility (PRTF) restraint/seclusion- related deaths; • EMTALA complaints; • Fires resulting in serious injury or death in a Medicare/Medicaid-certified facility; • Federal facilities; • Religious Non-medical Health Care Institutions (RNHCIs)(evaluation performed by Region I, Boston, only); • CLIA-certified laboratories holding a certificate of accreditation. (See Chapter 6). • CLIA-exempt laboratory. (See Chapter 6); • Blood transfusion-related fatalities (See Chapter 6 and Appendix C); • Over-utilization or inappropriate utilization of services within the QIO’s jurisdiction; • Civil rights violations; or • Medicare or Medicaid fraud 2 – Special Cases The SA considers whether notification to the CMS location is appropriate. If a complaint is especially significant, sensitive, or attracting broad public or media attention, the SA informs the CMS location immediately. Additionally, the SA needs to consider any other early notice requirements prescribed by other State or Federal policies or interagency agreements.