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State Laws and Regulations

Licensing and Applications

To apply for a license to operate a facility for intermediate care, you must complete the following:

Federal Regulations

Centers for Medicare/Medicaid Services State Operations Manual (SOM – Federal Regulations/Guidelines)

Certification Applications

To apply for CMS certification as a facility for nursing facilities, you must provide the following:

Informal Dispute Resolutions (IDR) 

Administrative Review Policy for Medical Facilities

Informal Dispute Resolutions (IDR) must be offered to skilled nursing facilities, intermediate care facilities and home health agencies in the course of the recertification process whenever deficiencies are cited. IDR must be offered for all deficiencies regardless of the severity and scope scores or condition level deficiencies.

An IDR process will not be offered to facility types other than skilled nursing facilities, intermediate care facilities and home health agencies. Other facility types will have an opportunity to request a hearing on appeal for deficiencies identified in a sanction notice and the prehearing will allow opportunity for informal resolution.