N.H. Admin. Code § He-C 6344.18

Current through Register No. 50, December 12, 2024

Section He-C 6344.18 - Monitoring and Quality Assurance Activities for Private Behavioral Health Providers

(a) Private providers shall participate in quality assurance activities conducted by DCYF using a variety of activities that may include a combination of record reviews, performance data measurements and visits to the provider.

(b) Private providers shall allow DCYF, to conduct quality assurance reviews which shall include:

(1) Interviewing the private provider;

(2) Interviewing children and families served;

(3) Reviewing provider documents, to include:

a. The evidence-informed treatment modalities used;

b. The treatment outcomes achieved and the length of time in treatment; and

c. The providers treatment plan to assure that it agrees with the DCYF case plan; and

(4) Examining case records to determine continued compliance with He-C 6344.

(c) Private providers shall ensure that clinical records, including all progress reports, are available for inspection and review by DCYF.

(d) Private providers shall be monitored and evaluated by DCYF through a variety of activities including:

(1) Monthly queries of data that is stored on NH Bridges case management system and the Medicaid management information system;

(2) Reviews of case record information; and

(3) Satisfaction surveys from stakeholders, such as families, CPSW and JPPOs.

(e) Private providers shall be notified of any problems that are noted on the DCYF staff surveys that include:

(1) Negative responses concerning quality and timeliness of service provision; and

(2) Written comments about private provider performance.

N.H. Admin. Code § He-C 6344.18

(See Revision Note at part heading for He-C 6344) #9311, eff 11-5-08

Amended by Volume XXXVII Number 28, Filed July 13, 2017, Proposed by #12206, Effective 6/10/2017, Expires 6/10/2027.