LTSS10
CMS-Required Outcome
CMS-required outcome
LTSS system collects grievances related but not limited to instances of abuse, neglect, exploitation, and unexplained death from case initiation to case closeout.
Default metrics
- Average number of days it takes from a grievance reported to completion of an administrative review.
- Pass/Fail for the following:
- Verify capability to receive grievances from various media such as phone, tablet, text message, online (per state-specified requirements).
- Verify capability to collect grievance data required for audits/hearings.
- Verify capability to track grievances through closure.
- Verify capability to search for and view a grievance by using information such as beneficiary name and/or date of reportable event.
Regulatory sources
- 42 CFR 441.464; 441.555