State Operations Manual (Pub. 100-07), Ch. 5 § 5130
Deemed Provider/ Supplier Refusal of Complaint Investigation
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.