State Operations Manual (Pub. 100-07), Ch. 5 § 5130

Deemed Provider/ Supplier Refusal of Complaint Investigation

Last amended: 2026Year: 2026Length: 68 wordsOfficial source
5130 – Deemed Provider/ Supplier Refusal of Complaint Investigation Surveys (Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26) The SA informs the provider/supplier that refusal to allow a complaint investigation survey is a basis for termination and exclusion from the Medicare program, in accordance with Section 1128(b)(12) of the Social Security Act. The SA notifies the CMS location immediately of a refusal to allow a complaint investigation survey.
State Operations Manual (Pub. 100-07), Ch. 5 § 5130: Deemed Provider/ Supplier Refusal of Complaint Investigation | Justis AI