State Operations Manual (Pub. 100-07), Ch. 7 § 7213.7
Approval of an Independent Informal Dispute Resolution
7213.7 - Approval of an Independent Informal Dispute Resolution
Process
(Rev. 213; Issued: 02-10-23; Effective: 02-10-23; Implementation: 02-10-23)
A State’s Independent IDR process must be approved by CMS. The State must submit
all proposed processes, including any process that may have been used by or already
existed in the State prior to January 1, 2012, to the CMS Location for approval.
The CMS Location will review and approve all written policies and procedures of the
State’s Independent IDR process. Any subsequent changes to an approved Independent
IDR process must be submitted as soon as possible to the applicable CMS Location for
review and approval prior to these changes taking effect.
The State survey agency and the Independent IDR entity or person must enter into a
written contract or Memorandum of Understanding (MOU) which ensures that the
Independent entity or person meets all of the qualifications and responsibilities set forth
in regulations and guidelines specified in Chapter 7, §7213.7 of the SOM and will
comply with all applicable Federal record laws and regulations concerning protected
health information and the survey process or the Independent IDR process. An
Independent IDR entity or person must not disclose to the public any information related
to the facility that requested the Independent IDR, including the results of the
Independent IDR review.