Case Reviews Flashcards
Where does the authority come from to monitor cases?
Code of Federal regulations
How many cases need to be reviewed?
10% of each program and region
Types of Quality Review Assurance Programs.
Operations Monitoring Reviews Monitoring Oversight and internal Controls Case Reviews Risk Management Regulatory Integrity Internal Audit Reporting and Analysis Employee Performance and Development
Why do case reviews
To ensure that VR services are in accordance with laws, regulations, policies, rules, procedures, and guidance
Mosaic
Is a system for program performance oversight
Risk areas
Application > 60 days Eligibility > 90 Presumptive eligibility Active services case management Case cost>25000 Case length>5years No counseling and guidance for >180 days One time maintenance>200 Vacant caseload Successful closure Unsuccessful closure
Case Reviews
Approvals Consultations Case Transfers Formal Inquiries Performance Measures Data Corrections Risk Assessment
Types of Reviews
Compliance and Quality
Technical and Purchasing Review
Case Reading
Full
Partial
Every aspect
Partial -focuses on particular aspects
Case Note requirements
See memo
Case Review process
Case Review conducted
CCS is sent an email that a case review has been completed
CCs completes an CA and provides Feedback to reviewer.
CCS acknowledges the review
Reviewer ensures that the Corrective Actions are made and validates
What can and cannot be corrected in a case review
Cannot-extension of time, late payments, ATF, Incorrect Eligibility decision
CAn-Obtaining necessary paperwork missing
Incorrect income information or wrong employment info entered.
CVES certified
In order to provide vocational, etc tests for customers who are blind, they must be cert by the VDU
Why do we use VDU
To determine a customer’s level of vocational potential
Can obtain at any time during the case
Helps with planning program and placement
To ID specific training
Considerations for higher academic training
If there are sign changes during the voc rehab program.
What are the unique in-house services for blind visually Impaired
VRC VRT Diabetes VDU ATU EAS OM CCRC Deafblind Specialist