1732 Quality Assurance

Official source

The QA system was established to improve program management by providing management information related to payment accuracy and to satisfy federal requirements. The Medicaid Eligibility Quality Control (ME QC) unit within KDHE serves as the designated entity for federal ME QC compliance and is responsible for coordinating and conducting all required federal reviews. Local agency staff are required to cooperate with ME QC in conducting reviews. Cooperation includes, but is not limited to:

Making case files available for review

Responding to inquiries and questions regarding the case

Promptly correcting the case if errors are discovered

Developing and overpayment, if required to do so

Developing Corrective Action Plans

Implementing Corrective Action Plans

Providing program evaluation and follow up

Each entity with responsibility for eligibility determination shall also have a local quality assurance process in place. This will include period case reviews, evaluation and corrective action as necessary.

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1732 Quality Assurance

Official source

The QA system was established to improve program management by providing management information related to payment accuracy and to satisfy federal requirements. The Medicaid Eligibility Quality Control (ME QC) unit within KDHE serves as the designated entity for federal ME QC compliance and is responsible for coordinating and conducting all required federal reviews. Local agency staff are required to cooperate with ME QC in conducting reviews. Cooperation includes, but is not limited to:

Making case files available for review

Responding to inquiries and questions regarding the case

Promptly correcting the case if errors are discovered

Developing and overpayment, if required to do so

Developing Corrective Action Plans

Implementing Corrective Action Plans

Providing program evaluation and follow up

Each entity with responsibility for eligibility determination shall also have a local quality assurance process in place. This will include period case reviews, evaluation and corrective action as necessary.