Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 223 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Chapter 2 - Early Intervention / Targeted Case Management
Rule 23-223-2.3 - Quality Assurance and Monitoring
Universal Citation: MS Code of Rules 23-223-2.3
Current through September 24, 2024
A. The Division will establish and maintain an assurance process that ensures a quality case management program and the delivery of necessary covered services that appropriately address the individual needs. The provider agrees to share data as part of the quality assurance program timely upon request by the Division.
B. The providers will make available to the Division the documentation/records maintained for case management services with the following information:
1. The name of eligible client,
2. Dates of case management
services,
3. The nature, content,
and units of the case management services received and whether goals specified
in the care plan have been achieved,
4. Whether the client has declined services
in the care plan, the need for and occurrences of coordination with other case
managers,
5. The time line for
obtaining needed services,
6. The
time line for reevaluation of the plan,
7. Case Management Needs Assessment to
determine the services needed and requested by the individual,
8. Service Coordination and Linkage to
identify, assess, and link eligible individuals with the appropriate medical,
social, and educational services to ensure that appropriate services are being
provided while reducing duplication of services, and
9. Individual Service Monitoring to assure
that all services are being appropriately delivered according to the
Individualized Family Service Plan (IFSP) and in accordance with the
established time lines.
Miss. Code Ann. § 43-13-121; 43-13-117(19)(b)
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