Initial Letter for Provider Notification of On-Site Compliance Review (PC006)
Initial Letter for Provider Notification of Desk Compliance Review (PC006)
This letter is sent to the provider who has been chosen for a provider compliance review advising them that someone will be calling them to set up a review time. There are two letter types that correspond to the review type- either onsite or desk review.
Required Documents List – On-site Review (PC007)
Required Documents List – Desk Review (PC007)
This list will be sent with the Provider Notification Letter to advise the provider what documents will need to be made available to the review team on the date of the review. There are two lists that correspond to the review type- either onsite or desk review.
Required Documents List for Individual Providers (PC063)
This list is provided to the Individual Provider when the surveyor contacts the Provider to arrange for a provider compliance review for IO or Level One waivers.
Provider Compliance On-Site Review Itinerary (PC064)
Sample Key Not Subject to Public Record Requests (PC065CB)
Suggested Guidelines for Number of Personnel and Individuals to be pulled (PC066)
This document identifies the number of staff records, as well as individuals’ documents, that should be pulled during the provider compliance review process.
Protocol to Select and Match On-Site Sample Records & Documentation (PC067)
This document explains how the Provider Compliance Surveyor can select documents on an individual’s services for use in cross checking with personnel records of the staff who provided the ISP services to the individuals chosen.