Called Independent Informal Dispute Resolutions (IIDRs), this process is designed as a method by which a nursing home may protest the imposition of federal (CMS-imposed) civil monetary penalties. CMS has recently issued implementary guidelines to state survey agencies to ensure compliance.
As such, DSHS has issued this Dear Nursing Home Provider letter and outlined the state process for an IIDR request. It is important to note that only new instances of federal fines are impacted by the IIDR process, and that it only applies in situations where Medicare and Medicaid fines have been IMPOSED, not those which have been recommended by a state survey agency to CMS.
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