Primaris Healthcare Business Solutions


What is an Informal Dispute Resolution (IDR)?

Missouri nursing homes have an opportunity, under state law, to refute citations issued by the state Department of Health & Senior Services (DHSS). 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. Need IDR assistance? Primaris can help with four simple steps.

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. Since our organization was contracted by the state to perform review services in 2011, Primaris’ team of skilled reviewers have conducted informal reviews with the highest regard for objectivity, professionalism and fairness to all parties involved. Informal dispute resolution is a simple process, and it all starts with completing our one-page intake form.

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

How to get started:

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:



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