Revisions to the State Operations Manual (SOM) Chapter 10 –Informal Dispute Resolution (IDR) and Enforcement Procedures for Home Health Agencies and Hospice Programs

Wisconsin Department of Health Services

Division of Quality Assurance: Notifications & Updates

Attn: All Hospices and Home Health Agencies

Revisions to the State Operations Manual (SOM) Chapter 10 –Informal Dispute Resolution (IDR) and Enforcement Procedures for Home Health Agencies and Hospice Programs

The Division of Quality Assurance is sending this message as part of our commitment to Collaboration, Innovations and Quality.

On May 2, 2024, the Centers for Medicare & Medicaid Services (CMS) issued QSO-24-11-HHA & Hospice (cms.gov).

Memorandum Summary

  • The Centers for Medicare & Medicaid Services (CMS) has revised the State Operations Manual (SOM) chapter 10 to provide procedures regarding the informal dispute resolution (IDR) process for both Home Health Agencies (HHAs) and hospice programs.
  • Revisions also include guidance for State Agencies (SAs) and CMS Survey & Operations Group (SOG) Locations on recommending and imposing HHA alternative sanctions and hospice enforcement remedies.

Contact:

For questions or concerns regarding HHAs, please contact hhasurveyprotocols@cms.hhs.gov.
For questions or concerns regarding hospices, please contact QSOG_Hospice@cms.hhs.gov.