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Audits, Monitoring Reviews, Access to Records, and Provider Appeals

Explains how the Agency prepares for and responds to the reviews that take the place of state licensing inspections for a Michigan home care provider: the MDHHS Home Help new agency compliance review and annual desk audits, MI Choice waiver agency monitoring reviews and home visits, unannounced MDHHS site inspections and record requests, how corrective action is carried out, and how the Agency appeals a negative action.

Preview: full text with a package
About this policy
Policy number
MI-HC-GOV-04
Version
1.0
Main rule
MPM Home Help §8.10
Library
Michigan home care · 50 policies
Category
Governance
Sections
17

In short

  • MDHHS and the MI Choice waiver agencies review the Agency instead of a state licensing survey.
  • A reviewer may visit a client while you are working and ask about your tasks. Be honest and polite.
  • Never refuse an inspector or investigator. Call the Administrator right away.
  • Never change, add to or back-date a record after a review or request.
  • Problems found in a review are fixed and checked so they do not happen again.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (MPM Home Help §8.10)
  • 5. Home Help Compliance Review and Desk Audits
  • 6. MI Choice Waiver Agency Monitoring Reviews
  • 7. Unannounced Inspections and Record Requests
  • 8. Corrective Action
  • 9. Provider Appeals
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • When you received the last Home Help audit letter, how many days did it take you to send the documents?
  • Show me the corrective action you took after the last waiver agency monitoring review.

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