If NO, how late: O The reviewer calculates the number of days the service was late based on the date AE OA of waiver enrollment. Non-Scored The reviewer chooses the appropriate time frame from the drop down. Mark NA if service initiation was timely or if the individual was not newly enrolled. Waiver services are initiated within R AE OA forty-five (45) calendar days. Waiver services are initiated. R The AE provides documentation that service(s) are initiated. AE OA Mark YES if documentation is provided. Mark NA if no remediation action is required or another remediation action was selected. Disenrollment procedures have been R If the individual is determined not to need waiver services (other than supports AE OA initiated as per ODP policies and HCSIS coordination) the AE must document that the individual is disenrolled from the amended as appropriate. waiver. If the determination is that the person does not need waiver services, the AE must initiate disenrollment procedures per ODP policies and procedures, which includes notification to the person of hearing and appeal rights. Mark YES if HCSIS eligibility screen is amended to reflect disenrollment. Mark NA if no remediation action is required or another remediation action was selected. Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE OA AE to comply with the requirements of the Operating Agreement. The reviewer records in the comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. If YES, when: R The reviewer calculates the number of days between the notification date to the AE AE OA and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary, or if no remediation action was taken by the AE.
If NO, how late: Non-Scored O The reviewer calculates the number of days the service was late based on the date of waiver enrollment. The reviewer chooses the appropriate time frame from the drop down. Mark NA if service initiation was timely or if the individual was not newly enrolled. AE OA Waiver services are initiated within forty-five (45) calendar days. R AE OA Waiver services are initiated. R The AE provides documentation that service(s) are initiated. Mark YES if documentation is provided. Mark NA if no remediation action is required or another remediation action was selected. AE OA Disenrollment procedures have been initiated as per ODP policies and HCSIS amended as appropriate. R If the individual is determined not to need waiver services (other than supports coordination) the AE must document that the individual is disenrolled from the waiver. If the determination is that the person does not need waiver services, the AE must initiate disenrollment procedures per ODP policies and procedures, which includes notification to the person of hearing and appeal rights. Mark YES if HCSIS eligibility screen is amended to reflect disenrollment. Mark NA if no remediation action is required or another remediation action was selected. AE OA Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE to comply with the requirements of the Operating Agreement. The reviewer records in the comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. AE OA If YES, when: R The reviewer calculates the number of days between the notification date to the AE and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary, or if no remediation action was taken by the AE. AE OA
QAI+AE+Onsite+Questions+Final+08+21+17.docx