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Informal Dispute Resolution Information Center

Comprehensive Care Facility (Nursing Home) Informal Dispute Resolution

The Indiana Department of Health (IDOH) serves as the state licensing and federal certification survey agency for health care facilities. Upon completion of a survey of a nursing home, the IDOH issues a survey report detailing survey findings. Pursuant to federal regulations, a health care facility is offered the opportunity for an informal dispute resolution (IDR) to refute the findings of a survey conducted by the IDOH Division of Long Term Care. The IDOH Consumer Services & Health Care Regulation Commission IDR Program is responsible for overseeing and conducting all IDR and independent informal dispute resolution (IIDR) processes.

Pursuant to the Patient Protection and Affordable Care Act (2010), a nursing home may request an independent informal dispute resolution (IIDR) if the Centers for Medicare and Medicaid Services (CMS) imposes a civil money penalty against the facility and the civil money penalty amounts are subject to being collected and placed in an escrow account.

Residential Care Facility Informal Dispute Resolution

The informal dispute resolution process is available to facilities for state rule citations cited at 410 IAC 16.2-5.  The state rule citations do not qualify for independent informal dispute resolution.

Contact the Program

Indiana Department of Health
Division of Long Term Care
2 North Meridian Street, 4B
Indianapolis, IN 46204
Director of Informal Dispute Resolution Program
Linda Kay, RN
Long Term Care Receptionist: 17-233-7442
IDOH Main Switchboard: 317-233-1325
IDR Administrative Assistant: Lisa Hensley; 317-233-8761; lhensley@health.in.gov
Fax: 317-233-7154

Program Policies and Advisories

Instructions for Requesting Informal Dispute Resolution​
Instructions for Requesting Independent Informal Dispute Resolution

Federal Laws and Regulations

Centers for Medicare and Medicaid Services (CMS)

Code of Federal Regulations (CFR)

Federal Policies and Guidance

  • CMS S&C 12-08-NH Federal Requirements for Independent Informal Dispute Resolution Process for Nursing Homes  [December 2, 2011]
  • CMS S&C 13-57-NH Escrow and Independent Informal Dispute Resolution (Independent IDR) Process for Nursing Homes – Applicable to All Civil Money Penalties (CMPs)