CMS location Oversight of Complaint-Related Processes

5390 – CMS location Oversight of Complaint-Related Processes (Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26) 1. The CMS location considers any complaint data in targeting look-behind surveys or reviews. 2. The CMS location monitors data in summary form - either through a log or data system. See §5060. These records should include: • Identification of region or State-wide patterns; • Pinpointing of problem providers or States; • Evaluation of SA processing times, workloads, performance, etc.; and • Identification of overall SA workloads, including review of complaints where noncompliance was not found and Medicaid-only complaint volumes. 3. Based on needs identified from oversight activities, the CMS location provides SA training and technical assistance. NOTE: Sections 5400 to 5480.2 relate to alleged EMTALA violations.