Table 9: Quality Assurance Monitoring The Demonstration Director will have responsibility for monitoring performance measures. Sampling will be 100% for all measures. CMS Assurance Step in Process Process Details Monitoring Data Performance Frequency of Frequency MFP Quality method Source Measure Data of data Indicator Document Collection aggregation and analysis CMS-Appendix B: Participant Access and Eligibility MFP-Participant Eligibility The Medicaid TM keeps track of TM reviews Tracking # of referrals by Continuous Quarterly Preliminary Agency retains referrals by facility /by reports and form region and by Assessment ultimate region and report to follows up as surrogate or Process administrative Office of Aging and necessary legal guardian Transition authority and Disability Services Planning responsibility for (OADS); # and % of Process the operation of the individuals at Transition waiver program by TM verifies eligibility each step in Process exercising oversight threshold criteria for MFP process based of the performance Demonstration on status and of waiver functions choice by other state and TM keeps track of first local/regional assessment, timelines # Appeals or agencies (if and outcomes and report complaints appropriate) and to OADS related to contracted entities eligibility within process Average time from start of process to transition discharge
Table 9: Quality Assurance Monitoring The Demonstration Director will have responsibility for monitoring performance measures. Sampling will be 100% for all measures. CMS Assurance MFP Quality Indicator Step in Process Process Details Monitoring method Data Source Document Performance Measure Frequency of Data Collection Frequency of data aggregation and analysis CMS-Appendix B: Participant Access and Eligibility MFP-Participant Eligibility The Medicaid Agency retains ultimate administrative authority and responsibility for the operation of the waiver program by exercising oversight of the performance of waiver functions by other state and local/regional agencies (if appropriate) and contracted entities Preliminary Assessment Process Transition Planning Process Transition Process TM keeps track of referrals by facility /by region and report to Office of Aging and Disability Services (OADS); TM verifies eligibility threshold criteria for MFP Demonstration TM keeps track of first assessment, timelines and outcomes and report to OADS TM reviews reports and follows up as necessary Tracking form # of referrals by region and by surrogate or legal guardian # and % of individuals at each step in process based on status and choice # Appeals or complaints related to eligibility within process Average time from start of process to transition discharge Continuous Quarterly