2012 DWI Audit Information | 2010/2011 DWI Audit Information | 2010 Spring Audit | 2009 Fall Audit |2009 DWI Audit Information | SA/MH Block Grant Review Information | 2009 Spring Audit Information | Audit and Monitoring Reports | Spring 2007/2008 Residential Treatment Audits | Residential Treatment Levels II, III, IV and PRTF Medicaid Audits | Fall 2007 Audits | 2006/2007 Medicaid Audit of Community Support Services | 2006 CAP MR/DD Audit | 2007 DWI Audit Information
2012 Substance Abuse and Mental Health Block Grant Reviews
The DMH /DD/SAS Accountability Team will conduct monitoring of the Substance Abuse Prevention and Treatment and the Community Mental Health Services
Block Grants between May 14, 2012 and June 30, 2012.
Reviews will take place at the LMEs/MCOs.
Information on the review processes, tools used and reviewer guidelines are
posted here.
Monitoring tools and guidelines are subject to revisions. Any additional changes
will be posted to this web site.
2011 SA and MH Block Grant Reviews
The DMH /DD/SAS Accountability Team will conduct monitoring of the Substance Abuse Prevention and Treatment and the Community Mental Health Services Block Grants between May 16, 2011 and June 30, 2011.
Reviews will take place at the LMEs.
Information on the review processes, tools used and reviewer guidelines are posted here.
Monitoring tools and guidelines are subject to revisions. Any additional changes will be posted to this web site.
2009 DWI Audit Information
INTRODUCTION
Information regarding DWI reviews for 2009 can be found below:
2009 DWI Provider Notification Letter
2009 DWI Review Schedule
*** (2009 DWI Review Schedule will not be posted)***
Due to the uncertainty of travel approvals and budget constraints during the last fiscal year, the 2009 DWI Review Schedule was not posted on the web. All review dates and ongoing updates to the 2009 DWI Review Schedule will be communicated via US mail, electronically, and by telephone. This includes rescheduling and adding new providers to the 2009 DWI Review Schedule.
If you are a DWI Provider and have questions or would like information regarding the scheduled review date for your upcoming 2009 DWI Review:
Please call or email the following:
Bill Harris
919.881.2446 ext. 41 / voice
919.218.4795 / mobile
bill.harris@dhhs.nc.gov / email
2008/2009 DWI Review Tool – 1
2008/2009 DWI Review Tool – 2
2008/2009 Review Summary and Exit Form
2008/2009 Client Information Transfer Form
2008/2009 Non-English Speaking Client Form
Additional information related to 2009 DWI Reviews will be posted at a later date.
Please contact one of the following with questions related to the review process.
2010 Spring Audit
INTRODUCTION
The DMH/DD/SAS Accountability Team will conduct audits of Child and Adolescent
Residential Treatment and CAP-MR/DD services from April 19 through June 4, 2010.
Audits will take place at seven (7) centralized locations: Gastonia, Jacksonville, Asheville, Rocky Mount, Lumberton, Asheboro, and Elkin.
Information on the audit processes, tools used, and auditor guidelines, as well as weekly schedules and directions will be posted here. Approximately 1-2 weeks prior to each
audit, providers will receive their specific appointment date and time along with a list of records to be reviewed.
Audit tools and guidelines are subject to revisions. Any changes will be posted to this
web site.
Letter to Providers
CAP-MR/DD Audit Tool 4/9/10
CAP-MR/DD Guidelines 4/9/10
CAP/MR/DD- PCP Audit Tool 4/9/10
PCP Guidelines 4/9/10
Provider List 3/30/10
Provider List by Site 3/30/10
Residential Tool 4/9/10
Residential Guidelines 4/9/10
CAP Qualifications Checklist 4/9/10
Directions
Asheboro
Asheville
Crossroads
Gastonia
Jacksonville
Lumberton
Rocky Mount
2009 Fall Audit
INTRODUCTION
The DMH/DD/SAS Accountability Team will conduct audits of Medicaid services from September 14, 2009 – November 5 2009. Audits will take place at eight (8) centralized locations: Asheboro, Winston-Salem, Elkin, Asheville, Rocky Mount, Lumberton, Jacksonville, and Gastonia.
Information on the audit processes, tools used, and auditor guidelines, as well as weekly schedules and directions are or will be posted here. Approximately 1-2 weeks prior to each audit, providers will receive their specific appointment date and time along with a list of records to be reviewed.
Audit tools and guidelines are subject to revisions. Any changes will be posted to this web site.
Letter to Providers
Medicaid Audit Tool
Medicaid Services Audit- Auditor Guidelines
Targeted Case Management Audit Tool
Targeted Case management Audit-Auditor Guidelines
Provider List By Provider
Provider List By Site
Qualifications Checklist
Community Support Team Checklist (PDF, 5.17KB) 9-4-09
Day Treatment Checklist (PDF, 4.14KB) 9-4-09
Intensive In Home Checklist (PDF, 3.18KB) 9-4-09
Directions
Asheboro
Asheville
CenterPoint
Crossroads
Gastonia
Jacksonville
Lumberton
Rocky Mount
Blank Plan of Correction (Word)
SA/MH Block Grant Review Information
The DMH /DD/SAS Accountability Team will conduct monitoring of the Substance Abuse Prevention and Treatment and the Community Mental Health Services Block Grants. Reviews will take place at the LMEs.
Information on the review processes, tools used, and reviewer guidelines are posted here.
Monitoring tools and guidelines are subject to revisions. Any changes will be posted to this web site.
(All documents below are in PDF format and dated 4/28/09)
LME Memo
SAPTBG Prevention Program
SAPTBG Treatment Program for Pregnant Women or Children
Substance Abuse Prevention and Treatment Program (new)
Women with Dependent Children
SAPTBG Treatment Program for IV Drug Users
SAPTBG Individual
Women's Set Aside Fund (WSAF)
Work First Program
Work First Individual
CASAWORKS Program
CASAWORKS Individual
MAJORS
Safe and Drug Free Schools (SDFS) Program
Safe and Drug Free Schools (SDFS) Individual
Mental Health Block Grant Program (revised 5/11/09)
Mental Health Block Grant Individual(revised 5/14/09)
2009 Spring Audit Information
The DMH/DD/SAS Accountability Team will conduct audits of Medicaid and CAPMR/DD services from March 10, 2009 – May, 8 2009. Audits will take place at eight (8)centralized locations: Rocky Mount, Asheville, Asheboro, Gastonia, Winston-Salem,Lumberton, Jacksonville, and Raleigh.
Information on the audit processes, tools used, and auditor guidelines, as well as weekly schedules and directions are posted here. Approximately 1-2 weeks prior to each audit,providers will receive their specific appointment date and time along with a list of records to be reviewed.
Audit tools and guidelines are subject to revisions. Any changes will be posted to this web site.
(All documents are in PDF and posted 2/11/09 unless otherwise noted)
Provider letter
Provider List by Provider Name
Provider List by Site
Medicaid Services Audit Tool
Medicaid Services Auditor Guidelines 2/24/09
Medicaid Services Qualifications Checklist
CAP-MR/DD Audit Tool
CAP-MR/DD Auditor Guidelines 2/12/09
CAP-MR/DD Qualifications Checklist 2/24/09
Diagnostic Assessment Audit Tool 2/19/09
Diagnostic Assessment Auditor Guidelines 2/12/09
Diagnostic Assessment Qualifications Checklist 2/12/09
Directions
Asheboro
Asheville
Centerpoint Human Services (Winston-Salem)
Gastonia
Jacksonville
Lumberton
Raleigh
Rocky Mount
Blank Plan Correction Form (Word)
2008 Community Support Medicaid Audit and Person Centered Planning Review
Introduction:
The DMH/DD/SAS Accountability Team will carry out Medicaid audits of Community Support services, as well as reviews of the Person-Centered Planning process from
August 26, 2008 - October 23, 2008. Audits will take place at eight (8) centralized locations: Asheboro, Raleigh, Greensboro, Gastonia, Jacksonville, Asheville, Rocky Mount, and Lumberton. Information on the audit and review processes, tools used, and instructions, as well as weekly schedules and directions are posted here. Approximately 1-2 weeks prior to each audit, providers will receive their specific appointment date and time. Please note that auditor/reviewer instructions are guidelines and may not be all inclusive of areas to be reviewed. Audit and review tools and instructions are subject to revisions. Any changes will be posted to this web site.
Memo to Providers
Provider List by Site revised (8/14/08)
Provider List by Provider Name revised (8/14/08)
CS Tool revised (8/15/08)
CS Instructions revised (8/15/08)
CS Qualifications Checklist revised (8/14/08)
PC Planning Tool revised (8/14/08)
PC Planning Instructions (8/06/08)
Spring 2007/2008
Residential Treatment Audits
INTRODUCTION
IMPORTANT NOTE: There is a change in the training requirements that will be reviewed during this audit cycle. SIX HOURS OF PC THINKING WILL NOT BE NEEDED TO MEET THE REQUIRMENTS FOR STAFF TO BE QUALIFIED.
A new Qualifications Checklist is posted below. Thank you to the providers that brought this issue to our attention.
Residential Treatment Levels II, III, IV and PRTF Medicaid Audits
The DMH/DD/SAS Accountability Team will carry out Childand Adolescent Residential Treatment Audits March 10, 2008 through May 23, 2008.
With the exception of Psychiatric Residential Treatment Facilities (PRTFs) located in the Charlotte area, audits will take place at eight (8) centralized locations: Greenville, Fayetteville, Durham, Greensboro, Hickory, Gastonia, Lumberton, and Elizabeth City.
The Charlotte Area PRTFs will have their audits on site at their facilities.
Information on the audit processes, tools used and uditor instructions, as well as schedules and directions, are posted here. Please note that the auditor instructions are guidelines and are not all inclusive of what may be reviewed. Audit tools and instructions are subject to revisions. Any changes will be posted to this web site.
Please contact Sandee Resnick at sandee.resnick@dhhs.nc.gov or Barbara Flood at barbara.flood@dhhs.nc.gov for any questions related to the audit process.
Letter
Provider List by Parent Company
Provider List by Provider Name
Provider List by Site
Directions
Audit Tool (revised 3-7-08)
Residential Auditor Instructions (revised 3-7-08)
Plan of Correction Form
Qualifications Checklist
Staff Ratio Tool
Staff Ratio Instructions
Fall 2007 Audits
Introduction
Schedule (9-04-07)
Plan of Correction Form (1-19-08)
Schedule by Site and Provider
Directions:
Asheboro
Black Mountain (with map) | Directions to Audit room
Winston-Salem
Jacksonville
Lumberton
Rocky Mount
Gastonia
Durham
SA Block Grant Monitoring:
Letter to LMEs
LME Worksheet
Tools with Instructions:
CASA Works Program Tools and Instructions
CASA Works Individual Instructions
MAJORS Tools and Instructions
SAPTBG Individual Tool and Instructions
SAPTBG Program Tool and Instructions - Prevention
SAPTBG Program Tool and Instructions - Treatment
SAPTBG Program Tool and Instructions - Treatment IV
SDFSCP Tool and Instructions
SDFSCP Individual Tool and Instructions
Work First Individual
Work First Program
WSAF Tool and Instructions
Medicaid Audit Information:
Letter to Directly Enrolled Providers
CAP Tool
CAP Instructions
CAP-MR/DD Special Requirements
CAP-MR/DD Qualifications Checklist
Medicaid Instructions
Medicaid Tools
Medicaid Special Requirements
Medicaid Qualifications Checklist
2006/2007 Medicaid Audit of Community Support Services
The NC Division of MH/DD/SAS will conduct additional targeted Medicaid audits of directly enrolled Community Support providers between April 2 and April 26, 2007. Please find information pertaining to the audits below.
Community Support Letter (read this first)
(posted 3-26-07)
Community Support Audit Tool (3-26-07)
Schedules:
Asheboro
Gastonia
Goldsboro
Directions:
Asheboro
Gastonia
Goldsboro
Contact:
The DMH/DD/SAS Accountability Team will carry out CAP-MR/DD Audits and New Service Implementation Reviews September 11 through November 2, 2006. The audit/reviews will take place at seven (7) centralized locations: Winston Salem, Asheville, Rocky Mount, Burlington, Gastonia, Wilmington, and Lumberton.
Information on the audit process, tools used and instructions as well as schedules and directions are posted here.
2007 DWI Audit Information
The DMH/DD/SAS Accountability Team will carry out Driving While Impaired (DWI) Programmatic Reviews of Assessment/Service providers from March 6, 2007 through October 31, 2007.
Information on the monitoring/review process is posted here and includes: tools used, instructions,and schedules.
Click the links below to find the information you need.
DWI 2007 Review Notification Letter
DWI 2007 Review Schedule (updated 7/13/07)
DWI 2007 Providers by County
DWI 2007 Assessment Review Instructions
DWI 2007 Assessment Review Tool
DWI 2007 Treatment Review Instructions
DWI 2007 Treatment Review Tool
DWI 2007 Technical Assistance Evaluation Form
DWI 2007 Change Order Form
DWI 2007 Non-English Speaking Client Form |
