Current through Register Vol. 63, No. 9, September 1, 2024
(1) The Division
may conduct the following types of certification reviews:
(a) Within six months of initial
certification as an ADSS, Division staff shall complete a comprehensive audit
of the required application documentation and a comprehensive audit of the
service delivery locations to ensure compliance with applicable statute,
administrative rules, other applicable regulations, and contractual
obligations;
(b) Certification
renewal reviews must occur prior to the expiration of the existing certificate
and at least once every three years;
(c) The Division may conduct discretionary
certification reviews:
(A) With reasonable
notice to ensure compliance with applicable statute, administrative rules,
other applicable regulations, and contractual obligations;
(B) With or without notice for the following
reasons:
(i) The Division has reasonable
concern the ADSS may act to alter records or make them unavailable for
inspections;
(ii) The Division has
received a complaint or information that suggests or alleges conditions or
practices that could threaten the health, safety, rights, or welfare of
individuals; or
(iii) The Division
has reason to believe a certification review is necessary to ensure an ADSS is
in substantial compliance with these rules, service delivery rules, other
applicable administrative rules, contractual obligations or with conditions
placed on the certificate.
(2) If Division staff may not access records
or service delivery locations for the purpose of conducting a certification
review, the Division may take action on the certificate up to and including the
application of conditions, suspension, or revocation.
(3) At the sole discretion of the Division,
Division staff may complete a certification review partially or fully via a
desk review process. A desk review process is where Division staff conduct a
certification review based on the ADSS or applicant's submission of required
documentation and telephonic interviews where Division staff do not physically
visit the service delivery locations:
(a) The
Division shall furnish a list of documentation necessary to complete the desk
review to the applicant or ADSS;
(b) The applicant or ADSS must submit all
requested documents to the Division in compliance with state and federal
privacy and data transmission regulations;
(c) The Division may elect to schedule
telephone interviews deemed necessary to fulfill the objectives of a
certification review; and
(d) Upon
completion of the desk review, the Division shall securely dispose of
documentation containing protected health information submitted by the
applicant or ADSS.
Statutory/Other Authority: 413.042 & 430.256
Statutes/Other Implemented: 430.256
