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Tags Posts tagged with "Self-Assessment"

Self-Assessment

Checklist concept - checklist, paper and pen

In alignment with key quality metrics and the implementation of “Everyday Lives: Values into Action,” all Administrative Entities (AE), Support Coordination Organizers (SCO), and Providers are required to complete a Quality Assessment & Improvement (QA&I) self-assessment of their performance on the provision of services and supports to individuals annually. The QA&I self-assessment requirement applies to all entities, regardless of the type of review (i.e., full review or record review only).

Exception: The QA&I Self-Assessment will be optional for SCOs scheduled to receive a full review in C3Y1, due to the concurrent demands of preparing for Performance-Based Contracting (PBC).

On July 1, 2025, a hyperlink will be sent to the email address of the entity’s primary contact from the QA&I Process mailbox ([email protected]) with the subject line “Action Required! The QA&I Cycle 3, Year 1 Self-Assessment – (Entity) is now available!” If the primary contact does not receive this email, please check spam and junk mail folders to ensure the email did not filter to one of those folders in error. If the entity’s primary contact does not receive the link by the end of the day on July 1, please email the QA&I Process mailbox for assistance.

All self-assessments must be submitted electronically to ODP via QuestionPro utilizing the hyperlink. Each entity must complete the applicable self-assessment by COB August 31, 2025. An entity shall submit only ONE self-assessment for their entire agency.

If an entity does not complete a self-assessment, a Directed Corrective Action Plan (DCAP) will be issued and ODP and/or the AE may elect to conduct a full review regardless of an organization’s regularly scheduled full review within the three-year cycle.

Please direct any inquiries, issues, or concerns regarding this communication to the QA&I Process mailbox. Read the ODP Announcement for more details.

ODP Announcement 24-071 informs stakeholders of the submission of the Performance-Based Contracting (PBC) 1915(b)4 Waiver and 1915(c) Waiver amendments to the Centers for Medicare and Medicaid Services (CMS). The Office of Developmental Programs (ODP) has included with this announcement multiple documents and resources that are essential for understanding and implementing PBC. The documents are:

Submitted amendments for Consolidated and Community Living 1915(c) and 1915(b)(4) Selective Contracting Waiver for Residential Services are available online. All significant changes resulting from public comments can be found in the PBC Implementation Guide under Appendix A, titled, “Significant Changes to Performance-Based Contracting Proposal as a Result of Public Comment April 20-June 4, 2024.”

As a reminder, all residential providers must sign and return the Residential Provider Agreement to ODP by July 31, 2024. Please direct any questions about this information to ODP electronically.