Evaluation of Allegation

5430.1 - Evaluation of Allegation (Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26) The CMS location evaluates all complaints and refers to the SA those that warrant SA investigation. The SA or the CMS location sends a letter to the complainant acknowledging the complaint and informing the complainant of whether an investigation is warranted. The SA’s responsibility is to verify whether a violation of 42 CFR 489.24 and/or the related requirements at 42 CFR 489.20 occurred, and if there were other violations.