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Manager with the input and collaboration of the rest of the team, including the Community Programs Monitor. Corrective Action Improvement Plans are not intended to be punitive in nature, but rather to help the LSP to identify and correct weaknesses or deficiencies within their policies, procedures, practices, or standards in order to ensure a high level of service is being maintained. While the assignment of a Corrective Action Improvement Plan is primarily driven by the overall performance score at the conclusion of a monitoring session, the Community Programs Manager may, at their discretion, assign a more or less severe plan than the overall performance score indicates based on an analysis of the specific errors and underlying issues presented in the monitoring report, or may decline to assign a Corrective Action Improvement Plan if the underlying issues do not appear to be systemic in nature. A. Meeting State Monitoring Threshold An LSP whose overall performance score is eighty-five percent (85%) or higher is considered to be in “good standing” and does not require being placed on an improvement plan. The LSP’s only responsibility is completing all action items identified in the monitoring report.

IHCDA Recommendation: If the LSP agrees with any action items during the exit conference, the LSP should begin to correct these issues and submit supporting documentation along with its written response. This will assist the LSP in meeting the 30- day closeout deadline (Refer to Section 14.8) B. Improvement Plans Placement on an improvement plan (Modified Quality Improvement Plan [MQIP] or Quality Improvement Plan [QIP]) will be at the discretion of the IHCDA Community Programs Manager and is not part of the monitoring session. An individualized improvement plan may require the LSP to undergo additional training and technical assistance (T/TA), site visit(s), additional LSP QA file review, IHCDA spot check of LSP QA files, EAP Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis, develop EAP Standard Operating Procedures (SOP), or other relevant actions as determined by IHCDA.

Modified Quality Improvement Plan (MQIP) A modified quality improvement plan may be used when the LSP’s overall performance score is between eighty and eighty-four percent (80% - 84.99%).

As a condition of the MQIP, the LSP will be required to: • QA twelve and a half percent (12.5%) of the next year’s EAP files. • Provide updates on progress meeting the MQIP corrective actions to IHCDA, as determined by the IHCDA Community Programs Manager – EAP