Quality Control (QC) Review Findings 448-01-55-10-15

(Revised 3/1/12 ML #3304)   

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QC will send review findings of each review via e-mail to the designated county staff, regional representative and program administrators.

• Correct cases - Review findings are informational only and do not require a response.

• Error cases – County staff must respond within 20 days of the error notice to the appropriate program administrator, with a copy to the regional representative and QC director acknowledging agreement or disagreement of the finding. If the county disagrees with the finding, the response must include sufficient information to challenge the review finding.

The program administrator and the QC director will review all challenges and either agree or disagree. The program administrator will respond electronically to county staff with a copy to the regional representative and QC director. If the challenge results in a change of the original review finding, a revised finding will be issued.

Upon request, QC will provide county staff with a copy of the complete review or verifications obtained during the review to correct the case or challenge a finding. Requests for verifications must be directed to the director of Quality Control.