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Informal Dispute Resolution


IDR 4 easy stepsMissouri nursing homes have an opportunity, under state law, to refute citations issued by the state Department of Health & Senior Services. DHSS inspectors are required to survey every licensed long-term care facility in the state at least twice per fiscal year.

Long-term-care facility managers may exercise their right to refute the findings of state surveys through Primaris. Since our organization was contracted by the state to perform review services in the summer of 2011, Primaris’ team of skilled reviewers have conducted informal evidentiary reviews with the highest regard for objectivity, professionalism and fairness to all parties involved.

State lawmakers set the stage for Missouri’s IDR program in 2009, when they passed the Informal Dispute Resolution Act. Nursing home facilities licensed under Chapter 198 of the Missouri state statutes are eligible for IDR services.

For more information on state surveys, please visit the DHSS Web site.

To begin an appeal, download one of the Excel files below and fax to 573-777-1016.

Primaris’ IDR Department can be reached at 800-735-6776, ext. 213.

Tools and resources: