Code part CO: Commendation 630/Contract/ COMMENT KEY: R: Recommendation EVALUATION NOT EVALUATION ITEM C-Stone MET N/A RQ: Required (typed bold) MECHANISM MET Quarterly Reports 630.20E monitoring. At least annually, appropriate professional health personnel of the Division and its consultants shall review each project for appropriateness of services and quality of care furnished to recipients in accordance with the project plan I. Agency Requirements and Provider Qualifications Code: All Kids log The agency must agree to help program 630.220b2 Case Notes participant apply for benefits under the All Contract Kids Health Insurance Program or referral to the closest application agent. Ensure enrollment or SV01 code 807 Code: Copies of Direct service staff for the program must 630.220b6 licenses/ meet the standards; proof of current 630.220c Certification on licensure must be available. Case Contract file. managers must meet the qualifications as Job/position listed in the MCH Code. descriptions. Agency to maintain access to in-house Interview with RN services for consultation related to manager. assessment\evaluation of client risk levels and needs. Code: Policy and Case Manager Assistants: 630.220e3 Procedures Chart and lay workers may be used Review to perform some case management Discussion with functions under the supervision of the case program manager. supervisor or Intake, follow-up with participants or staff providers to ensure that participants are Position accessing needed services, provision of Descriptions support and assistance that participants Observation may require to access services. Outreach activities.
EVALUATION ITEM Code part 630/Contract/ C-Stone Quarterly Reports EVALUATION MECHANISM MET NOT MET N/A CO: Commendation COMMENT KEY: R: Recommendation RQ: Required (typed bold) 630.20E monitoring. At least annually, appropriate professional health personnel of the Division and its consultants shall review each project for appropriateness of services and quality of care furnished to recipients in accordance with the project plan I. Agency Requirements and Provider Qualifications The agency must agree to help program participant apply for benefits under the All Kids Health Insurance Program or referral to the closest application agent. Ensure enrollment or SV01 code 807 Code: 630.220b2 Contract All Kids log Case Notes Direct service staff for the program must meet the standards; proof of current licensure must be available. Case managers must meet the qualifications as listed in the MCH Code. Agency to maintain access to in-house RN services for consultation related to assessment\evaluation of client risk levels and needs. Code: 630.220b6 630.220c Contract Copies of licenses/ Certification on file. Job/position descriptions. Interview with manager. Case Manager Assistants: and lay workers may be used to perform some case management functions under the supervision of the case manager. Intake, follow-up with participants or providers to ensure that participants are accessing needed services, provision of support and assistance that participants may require to access services. Code: 630.220e3 Policy and Procedures Chart Review Discussion with program supervisor or staff Position Descriptions Observation Outreach activities.