State Operations Manual (Pub. 100-07), Ch. 5 § 5430.2
Request for Investigation of Allegations
5430.2 - Request for Investigation of Allegations
(Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26)
The CMS location gives an initial verbal authorization to the SA to investigate the
EMTALA allegation, and then completes Form CMS-1541A in ACTS. If the CMS
location identifies Medicare conditions or standards it wants the SA to survey, related to
the EMTALA allegation at a deemed hospital, the CMS location completes Form CMS-
2802 in ACTS. If the CMS location identifies conditions or standards it wants the SA to
survey related to the EMTALA allegation at a non-deemed hospital, it directs the SA to
conduct a survey by completing Form CMS-1541A in ACTS.