N.H. Code Admin. R. He-C 6339.12
Quality Assurance Activities and Monitoring of Community Based In-home Service Providers
Effective Mar 18, 2017(See Revision Note at part heading for He-C 6339) #9263, eff 9-20-08; ss by #11180, INTERIM, eff 9-19-16, EXPIRES: 3-18-17; ss by #12136, eff 3-18-17Commissioner, Department of Health and Human Services
- (a) The provider shall participate in quality assurance activities conducted by DCYF using a variety of activities that may include a combination of record reviews, performance data measurements, and visits to providers.
(b) The provider shall allow an on-site visit by DCYF which may be random or scheduled, for the purposes of:
- (1) Interviewing program staff;
- (2) Reviewing program documents to determine continued compliance with He-C 6339; and
- (3) Examining agency case records for DCYF families.
- (c) Providers shall ensure that clinical records, including all progress reports, are available for inspection and review by DCYF staff during any on-site quality assurance or monitoring visit.
(d) Service providers shall be subject to monitoring and evaluation by DCYF through a variety of activities that include:
- (1) Queries of data that is stored on NH Bridges case management system and the medicaid management information system (MMIS);
- (2) Reviews of case record information;
- (3) Data reporting from the service providers; and
- (4) Satisfaction surveys from stakeholders, such as families, CPSWs, and JPPOs.
(e) Providers not demonstrating compliance with the provisions of He-C 6339 shall meet with DCYF to develop an approved corrective action plan that includes:
- (1) Areas of concern or noncompliance with He-C 6339;
- (2) Areas of performance needing improvement;
- (3) Recommendations for corrective action or program improvements;
- (4) Determinations on corrective action timeframes and any additional responses by the agency; and
- (5) Any recommendation regarding continued certification or revocation of certification.
(f) A service provider shall be notified of any problems that are noted on the DCYF staff surveys that include:
- (1) Negative responses concerning quality and timeliness of service provision; and
- (2) Written comments about agency performance.
Source. (See Revision Note at part heading for He-C 6339) #9263, eff 9-20-08; ss by #11180, INTERIM, eff 9-19-16, EXPIRES: 3-18-17; ss by #12136, eff 3-18-17