General Procedures

5200.1 - General Procedures (Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26) For complaint surveys on non-deemed providers/suppliers, the SA uses the appropriate survey protocol and interpretive guidelines. A focus survey is conducted on the specific regulatory requirements related to the allegation. Based on an initial assessment or other observations, if significant problems are identified, the SA expands the scope of review as necessary to determine compliance or noncompliance. The SA does not refer complaints regarding non-deemed providers/suppliers to the CMS location. If deficiencies are cited, the SA documents the deficiencies on Form CMS-2567 and obtains an acceptable POC. If non-compliance with the Medicare conditions is identified, the SA will follow the appropriate termination procedures and document and report as required. (See SOM Chapter 3, §§3010-3028 for termination procedures.)