Regulation detail

Pa. Code 5221.43

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Pa. Code 5221.43 active

Quality assurance and utilization review

Jurisdiction: PA Agency: Pennsylvania Department of Human Services (OMHSAS) and Department of Drug and Alcohol Programs (DDAP)
CMHC (60%)
Plain-English summary

This regulation requires providers of intensive case management services to maintain written quality assurance procedures, including periodic staff conferences, mandatory staff training attendance, and other oversight mechanisms. Services are subject to review by the Department and authorized county government agents in accordance with applicable review standards. Operators must ensure these procedures are documented and followed to remain in compliance.

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Regulation text
55 Pa. Code § 5221.43 - Quality assurance and utilization review 

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The quality of intensive case management shall be ensured
 by written provider procedures which include periodic staff conferences,
 required attendance at training programs for staff members and other oversight.
 Services are subject to review by the Department and appropriate agencies in
 accordance with §§
 
1101.71
-
1101.75
 and by authorized agents
 of the county government.

Notes

55

 Pa. Code §
 
5221.43

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