FY14 Waiver Record Review Form: CMS QA Compliance

1. Introduction

The questions on this form are needed to assess Virginia's compliance with the Centers for Medicare and Medicaid Services' 18 Quality Assurances regarding the MR/ID and Day Support Waivers. This should be completed in conjunction with a record review by a CSB/BHA support coordination supervisor or quality assurance staff member. Each CSB/BHA will be told the number of records to review annually according to its number of individuals in each Waiver in order to have a representative sample across the state. We advise CSBs/BHAs to divide that annual number by four and review a portion of the total each quarter, attempting to review at least one record from each support coordinator.
Powered by SurveyMonkey
Check out our sample surveys and create your own now!