State Operations Manual (Pub. 100-07), Ch. 7 § 7300.4
Effect of CMS’ Validation Authority
7300.4 - Effect of CMS’ Validation Authority
(Rev. 213; Issued: 02-10-23; Effective: 02-10-23; Implementation: 02-10-23)
The CMS Location may make independent findings of compliance or noncompliance
based on its own validation survey. The CMS Location’s finding of noncompliance is
binding and takes precedence over the State’s certification of compliance based on the
State’s survey.
The CMS Location may also make independent findings of compliance or
noncompliance based on its review of the State’s certification of compliance or
noncompliance. The CMS Location need not conduct an onsite visit in order to exercise
its validation authority. However, the CMS Location’s determination of compliance
based on the State’s findings that resulted in the State’s certification of noncompliance
does not take precedence. (See §7807 for resolving disagreements between the CMS
Location and the State.)