SD STEP 5

Hold an administrative review (appeal). 

Step #5 – If the provider requests an administrative review (appeal), the State agency may hold the administrative review or the State agency may require the sponsoring organization to hold the administrative review. The only action appealable is the NPTD. The provider must request the appeal within the timeframe specified by the sponsoring organization.

 

The following actions are not appealable:

  • Notice of Serious Deficiency
  • Debt associated with the findings of serious deficiencies
  • Review and evaluation of corrective action responses
  • Suspension (program payment(s) stop)