104.45 Cooperation with Quality Control Review

Every recipient must cooperate with state and federal quality control (QC) reviews. Failure to do so will make the recipient ineligible for the program being reviewed. See Supplemental Handbook, Chapter 900 .

55 Pa. Code § 111.4(b)(5)

Quality Control will notify the CAO when a recipient refuses to participate. The CAO must then do the following:

Contact the recipient to determine why they refused.

Arrange for an appointment with the QC reviewer if the recipient agrees to participate.

Notify the budget group of the proposed discontinuance of benefits by sending an Advance Notice if the recipient still refuses to cooperate.

Redetermine eligibility for other programs.