Single Certifier Record Review: Modified to Copies of Review copies of Does agency ever enroll using a single certifier? document review reviews. Compare Audit reviews. NO YES with Single Certifier Compare with Single If yes, must 20% of records. Verify that 20% Report Certifier Report of clients certified by single certifier were reviewed by Coor. (Admin/reports/role reports/Single User Certification Report) Is the agency performing routine audits of 20% of 10.1b records certified by one staff member, as required? NA YES 9.1a Breastpump Inventory & Issuance Modified table and Completed BP Review completed instructions Agreements BP Agreements, inventory records and issuance reports 3.1a Role Report-Credential verification Modified and License, RD, degree Review credentials, instructions verification confirm meet requirements 7.3a Formula Approval Record Review Combined 7 a & b Med. Documentation Review MDF’s and forms, food package food package assignments assignments. High Risk Record Review No citation, note if NE Pop-up: NE Plan, Review NE Pop-up high % of clients RD Refused, decline RD RD documented Referrals Outreach materials for Medicaid/Healthy Added Healthy Updated MA Copies of Kids/Healthy Michigan Plan Michigan Plan application and applications/outreach outreach materials outreach materials materials. Access to available MA applications Civil Rights Civil Rights Training ONLY Clarified that ONLY Test results/score for Review training log, LMS module LMS module is each WIC staff test results training.mihealth.org allowed member.
Single Certifier Record Review: Does agency ever enroll using a single certifier? NO YES If yes, must 20% of records. Verify that 20% of clients certified by single certifier were reviewed by Coor. (Admin/reports/role reports/Single User Certification Report) Modified to document review Copies of reviews. Compare with Single Certifier Report Review copies of Audit reviews. Compare with Single Certifier Report 10.1b Is the agency performing routine audits of 20% of records certified by one staff member, as required? NA YES 9.1a Breastpump Inventory & Issuance Modified table and instructions Completed BP Agreements Review completed BP Agreements, inventory records and issuance reports 3.1a Role Report-Credential verification Modified and instructions License, RD, degree verification Review credentials, confirm meet requirements 7.3a Formula Approval Record Review Combined 7 a & b Med. Documentation forms, food package assignments Review MDF’s and food package assignments. High Risk Record Review No citation, note if high % of clients decline RD NE Pop-up: NE Plan, RD Refused, RD documented Review NE Pop-up Referrals Outreach materials for Medicaid/Healthy Kids/Healthy Michigan Plan Added Healthy Michigan Plan outreach materials Updated MA application and outreach materials available Copies of applications/outreach materials. Access to MA applications Civil Rights Civil Rights Training ONLY LMS module training.mihealth.org Clarified that ONLY LMS module is allowed Test results/score for each WIC staff member. Review training log, test results