Page 58

CCDF POLICY AND PROCEDURE MANUAL Effective August 12, 2018 revised 02/11/2021. 58

Applicant’s or Co-Applicant’s questions regarding a provider’s ineligibility should be referred to the provider. (Some denials or revocations may be based on confidential information.) If an Applicant or Co-Applicant wishes to leave their child(ren) in the care of the ineligible provider, their services will be terminated, and future eligibility is subject to availability of funds. Ineligible providers who choose to file an appeal will not be reimbursed during the appeal process.

SECTION 5 PERFORMANCE STANDARDS 5.1 Quality Assurance and Monitoring The Eligibility Office (Grantee) is required to maintain performance standards regarding Quality Assurance. These standards are as follows: ➢ An accuracy rate of less than 100% of Applicant files reviewed by the State shall result in a reduction of the monthly payment to Grantee for active family case files found to have errors. In addition, if Grantee has two (2) consecutive months of an accuracy rate of less than 97% for the Applicant files reviewed, grantee shall be placed on a probationary status by the State for a period of three (3) months. ➢ Grantees on probationary status that have an accuracy rate of less than 97% for the Applicant files reviewed, shall incur a reduction of the monthly payment for active family case files found to have errors and for the direct services paid to providers on files found to be ineligible. ➢ If after three months on probation, the accuracy rate of files reviewed remains less than 97%, the State may terminate their contract agreement pursuant to Section VII SUSPENSION AND TERMINATION Paragraph A of the contract agreement.

Monitoring and Audit OECOSL will conduct a review of recipient files to monitor compliance. In addition, the Eligibility Office may be audited by the FSSA Audit, State Board of Accounts, and/or Federal Audit.