State Operations Manual (Pub. 100-07), Ch. 6 § 6056
Excused Failure to Participate in a Testing Event for a Particular
6056 - Excused Failure to Participate in a Testing Event for a Particular
Analyte
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
If a laboratory has received a score of zero due to failure to participate in a testing
event for an analyte or subspecialty without analytes, the laboratory may request
excused participation. This request is usually made when instrumentation is
inoperative or reagents for testing are unavailable during the testing event. (See
§493.845(c)(1)-(3)) An excused participation may be granted only if:
• Patient testing for the specialty, subspecialty, analyte was suspended
during the time frame allotted for testing and reporting of PT results;
• The laboratory notifies SA/CMS and the PT program within the time
frame for submitting PT results of the suspension of patient testing for
that specialty, subspecialty, or analyte and of the circumstances that led to
failure to perform testing on the PT samples; and
• The laboratory participated in the previous two testing events for
the specialty, subspecialty, or analyte.
If the SA/CMS accepts the circumstances given by the laboratory for not participating,
the score of 100 percent given by the program is allowed to remain. If the SA/CMS does
not accept the circumstances given by the laboratory to justify its lack of participation,
the SA/CMS will notify the PT program to change the 100 percent score to a zero to
indicate lack of participation. Only the PT program can change a laboratory’s PT score in
the PT Monitoring System which will then be reflected in the CASPER reports.