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The CMS Regional Office (RO) uses the Social Security Act, Federally Qualified Health Center regulations (see certification and compliance for FQHCs below), and the appropriate sections of the Interpretive Guidelines for RHCs (Appendix G below) in making determinations whether Medicare requirements are met. When the RO refers a complaint to another agency, Indian Health Service (IHS) or Health Resources Services Administration (HRSA), for investigation action, the RO must request a written report on the results of the investigation. Regardless of who conducts the investigation, the RO has the responsibility to assess compliance with Federal conditions or requirements. The time frames for investigations are not altered by the referral to another agency.
Page Last Modified: 10/28/2008 9:34:43 AM
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