Clarification on Release of 60-Day Quality Improvement Organization Reports by CMS

Wisconsin Department of Health Services

Division of Quality Assurance: Notifications & Updates

Attn: All Hospitals

Clarification on Release of 60-Day Quality Improvement Organization Reports by CMS

The Division of Quality Assurance (DQA) is sending this message as a part of our commitment to Collaboration, Innovation and Quality.

On March 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued QSO-24-09-EMTALA.

Memorandum Summary

  • CMS is clarifying procedures related to the release of the Quality Improvement Organization’s (QIO) 60-day report, requested for CMS’s referral of an EMTALA case to the HHS Office of the Inspector General (OIG) and for OIG’s investigation of the case.
  • Specifically, the 60-day report may not be released to the affected physician and/or hospital until after the OIG investigation is completed and the OIG closes the case.

Contact:

Where the case has been referred to the OIG, the hospital and/or physician should direct questions about the 60-day QIO report to the Office of Counsel to the Inspector General (OCIG). In most cases, the hospital or physician would have a point of contact at OCIG. If not, the hospital may contact OCIG at (202) 619-2078 or their CMS Location.