State Operations Manual (Pub. 100-07), Ch. 7 § 7212.4
Additional Elements for Federal Informal Dispute Resolution
7212.4 - Additional Elements for Federal Informal Dispute Resolution
(Rev. 63, Issued: 09-10-10, Effective: 09-10-10, Implementation: 09-10-10)
In addition to those elements cited in §7212.3, CMS has adopted the following elements
to be incorporated in all cases involving deficiencies cited as a result of Federal surveys.
They are designed to clarify and expedite the resolution process. States are free to
incorporate these elements into their procedures.
1. Notice to the facility will indicate that the informal dispute resolution, including
any face-to-face meetings, constitutes an informal administrative process that in
no way is to be construed as a formal evidentiary hearing.
2. Notice to the facility will indicate that counsel may accompany the facility. If the
facility chooses to be accompanied by counsel, then it must indicate that in its
request for informal dispute resolution, so that CMS may also have counsel
present.
3. CMS will verbally advise the facility of CMS’s decision relative to the informal
dispute, with written confirmation to follow.