triggered 60 days prior to the date it is due. Through the use of management reports registered nurses are provided with the data needed to ensure timely completion of reevaluation. The nurse documents the results of the re-evaluation using the MDS-HC, additional assessment questions and case notes. Level of Care entity reports to MRC include the date each Level of Care (LOC) re-evaluation is completed and the results of the level of care determination. State monitoring is conducted on a sample of records to ensure that re-evaluations have been conducted in accordance with all requirements. In addition, MRC, in collaboration with DDS, will conduct periodic site visits and annual assessments of the Level of Care entity. j. Maintenance of Evaluation/Reevaluation Records. Per 42 CFR §441.303(c)(3), the State assures that written and/or electronically retrievable documentation of all evaluations and reevaluations are maintained for a minimum period of 3 years as required in 45 CFR §92.42. Specify the location(s) where records of evaluations and reevaluations of level of care are maintained: Determinations of level of care are maintained by the Level of Care entity. Records are maintained for each waiver participant in accordance with 808 CMR 1.00 (the Division of Purchased Services State’s regulations that describe the contract compliance, financial reporting, and auditing requirements applicable to state procurements of human and social services). Quality Improvement: Level of Care As a distinct component of the quality improvement strategy, provide information in State’s the following fields to detail the methods for discovery and remediation. State’s
triggered 60 days prior to the date it is due. Through the use of management reports registered nurses are provided with the data needed to ensure timely completion of reevaluation. The nurse documents the results of the re-evaluation using the MDS-HC, additional assessment questions and case notes. Level of Care entity reports to MRC include the date each Level of Care (LOC) re-evaluation is completed and the results of the level of care determination. State monitoring is conducted on a sample of records to ensure that re-evaluations have been conducted in accordance with all requirements. In addition, MRC, in collaboration with DDS, will conduct periodic site visits and annual assessments of the Level of Care entity. j. Maintenance of Evaluation/Reevaluation Records. Per 42 CFR §441.303(c)(3), the State assures that written and/or electronically retrievable documentation of all evaluations and reevaluations are maintained for a minimum period of 3 years as required in 45 CFR §92.42. Specify the location(s) where records of evaluations and reevaluations of level of care are maintained: Determinations of level of care are maintained by the Level of Care entity. Records are maintained for each waiver participant in accordance with 808 CMR 1.00 (the State’s Division of Purchased Services regulations that describe the contract compliance, financial reporting, and auditing requirements applicable to state procurements of human and social services). Quality Improvement: Level of Care As a distinct component of the State’s quality improvement strategy, provide information in the following fields to detail the State’s methods for discovery and remediation.
ABI-N%20Renewal%20Application-Clean%20draft-October%202017.docx