NHTD Quality Management Program Tools and Processes
There are many tools and processes associated with the NHTD waiver's QMP. These are described elsewhere in this Program Manual and include, but are not limited to:
- NHTD Waiver Program Manual
- RRDS Interview with Potential Participants
- Participants' Choice of Waiver Services and Providers
- Provider Self-Monitoring Tools
- Provider Participant Satisfaction Survey
- Fair Hearing Procedures
- Participants' Rights and Responsibilities Form
- Waiver Contact List
- RRDS Interview with Potential Waiver Service Providers
- DOH Surveillance of Providers
- Vendor Hold and Disenrollment of Providers
- Review of Service Plans by RRDS/QMS
- Retrospective Record Review
- Participant Satisfaction Survey
- Participants' Signature On Service Plans
- Plan for Protective Oversight
- Assurances for Timely Submission of Service Plans and Individual Service Reports
- Addendum to Service Plan
- Complaint/Grievance Reporting and Investigation
- Incident Reporting Policy
- Examination of Claim Detail Reports
- DOH Coordination with Other State Agencies
- DOH Technical Assistance to RRDC and to QMS Contracts
- DOH/RRDS Quarterly Meetings with DOH
- RRDS Technical Assistance to Providers, Waiver Participants and Family Members
- DOH/QMS Quarterly Meetings with DOH
- QMS Technical Assistance to Providers
- Accessibility of DOH WMS
- Policy Clarification Letters
- Coordination with LDSSs
- Technical Amendment Requests to CMS
- DOH Annual Report to CMS
- Standardized Reporting by Contractors
- Waiver Complaint Line
- Regional Forums
- Quality Advisory Board