The California Department of Health has issued a new All Facilities Letter outlining the Independent Informal Dispute Resolution (IIDR) process for skilled nursing facilities that have received a deficiency with a scope and severity of "G" or greater. Facilities have 10 calendar days to request an IIDR upon receiving a Civil Money Penalty (CMP) notice from the Centers for Medicare and Medicaid Services (CMS). The letter details the procedures for conducting an IIDR, including the involvement of the RN Unit, resident representatives, and the State Long Term Care Ombudsman. A final decision on the IIDR must be made within 60 days from the date the request is received. Facilities must comply with the letter's guidelines and may face consequences for non-compliance. The letter serves as an important reminder of the IIDR process and its implications for nursing homes and other healthcare facilities in California.

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