State Operations Manual (Pub. 100-07), Ch. 5 § 5440.2
Scheduling the Investigation
5440.2 - Scheduling the Investigation
(Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26)
Allegations of EMTALA violation against a non-deemed or deemed hospital or CAH
may represent a probable immediate jeopardy to the next individual who comes to the
hospital requesting examination and treatment for an emergency medical condition.
Therefore, when triaged as IJ by the CMS location, initiate the investigation within two
business days after receipt of the authorization from the CMS location. The onsite
investigation must be conducted on consecutive business days. The survey must be
completed promptly and is not to be interrupted by other activities. DO NOT
ANNOUNCE ANY INVESTIGATIONS.
Based on review of the complaint allegations by the CMS location, the EMTALA
complaint may also be prioritized as Non-IJ High. In these situations, the investigation
must be initiated within 45 business days of CMS location authorization. The onsite
investigation must be conducted on consecutive business days. The survey must be
completed promptly, should not be interrupted by other activities, and must be
unannounced.