CMS-372(S) Annual Report Quality Section Prototype

Annual Report on Home and Community-based Services Waivers (CMS-372(S))

Form CMS-372(S) Annual Report on Home and Community-Based Services (HCBS) Waivers Quality Section Revision Prototype - 508

Annual Report on Home and Community-based Services Waivers

OMB: 0938-0272

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Form CMS-372(S) Annual Report on Home and Community-Based Services (HCBS) Waivers
Quality Section Revision Prototype
1 o f Monito,i.ns:

A»Urance

sub-.a»urance

Performance Me,uure
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OperatlOn of tfle

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s..m.ple Universe

8 t;.aee £.atry

State l!ntry

Numerator
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Denomlnato,
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Percent C-ompll;1nce

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Oe.fidency1

Simpling Methodology

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Comment

!'he, 5ta~,e ha•

The s~ete alrea(

d.i.sca.ssed

c:onduct.s p:rogre.::
Ut•gru.y uvu,
of prov1.ders. lf1
1till add provid1

bu•ine.u
requ.i.remenc.:a
for the .syst.eia
•d.it.• and
pl.at1:s to
isplement th~
in SFY2020.

"

qoah.!leat.1011.a i
a CO!IIJ>Or.ent o f 1
re•1ev unt.1.l ou1

•yn.u f<11t• •ri
uaple:se.nted.

..,

..,
rti. st.aw will
1.s.sue t.h1s

,..

:::emo by the
u.d o f .ruly

2020 .

they an
'

-

:-e.spon.:sl.ble fo
u:pdot1n9 ~C.:-V.l

plan• when

PMG3

E>-

"
"

part1c.1pant
neech ehange.

•

5

80..

I lnd.1\'1d\l.61 vi
Remediation not
required

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!nl.eNenitorlS
(lnt1Ud1r,g

V

:i,cso

need$

TileSlate
poOcleO and

( '°9u•t.U)Q A.Qf:ftCY

St.t,t• wtll
I Sv:steinic vi The
I State Medics.id l9e.ncv V
issue•
t. "

wananteMlble fo,
RemedlatlOft/QIP

the eo.u
Ma.tl&gf:lllf'flt
Agenc::i,ea c.o
r e.JU.nd the,,. th

lwa1vet

,nasae,,gneoaod

..

l1c.cn:aed/non~:-t.Uied
prov1@u , ?be
Ope:n u:1.ng ;.gen
wi.11 1-mpl~ne.
e-dl. t• UI tlU e
syst.«m t.o
d1..sien.roll
pt~Vld~n that

~•o
~ssure

1ne Skl1~ oernonstrates 1 sarvice plans

Remedfation/QIP •

The Stat.e ha:a:
ta.hn eorrcctive

aettoti •g•tn•t.
the pronder
e ase :u.na.ge:

•••

t.hn did oot

,-

seckJSIOn) afe

..,

..,

"

CQ111Plet.• •
prcvent1on ple..a,

( St.au Hfllic..id A.Que;, v

!'h1e lHIUO ha.s
bee.n ::e:sol~ed.


File Typeapplication/pdf
File Title372 Quality Section Revision Prototype
SubjectRevision Example
AuthorSusan Cummins
File Modified2021-10-14
File Created2021-02-03

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