PACE Kev Tshawb Fawb thiab Cov Kev Npaj Kho Kom Zoo
The Department of Health Care Services (DHCS) conducts routine medical surveys of Program of All Inclusive Care for the Elderly (PACE) Organization (POs). The medical survey is a comprehensive evaluation of the PO’s compliance with PACE regulatory and contractual requirements.
DHCS’ Integrated Systems of Care Division (ISCD) is responsible for ensuring overall monitoring and oversight of POs. ISCD designates the Contract & Enrollment Review Division (CERD) of DHCS’ Audits and Investigations (A&I) to perform the mandated audits.
DHCS ua qhov kev tshawb pom qhov tseeb hais txog lub peev xwm ntawm POs los muab cov kev pabcuam kev noj qab haus huv zoo, kev ua haujlwm zoo ntawm kev txheeb xyuas cov phooj ywg, thiab cov txheej txheem tswj kev siv, thiab kev ua tau zoo tag nrho hauv kev muab cov txiaj ntsig kev noj qab haus huv rau nws cov neeg koom. Cov kev tshuaj xyuas no pab DHCS nrog rau nws txoj kev saib xyuas tag nrho, thiab txheeb xyuas thaj chaw uas tsis ua raws, uas yog lub hauv paus rau kev kho kom raug.
POs yuav tsum tau muab Txoj Kev Npaj Kho Kom Zoo (CAP) thaum ua tiav ntawm DHCS Kev Tshawb Fawb lossis lwm yam kev soj ntsuam xyuas qhov kev tshawb pom tau pom. DHCS ua CAP kev ntsuam xyuas thiab muab kev pab cuam los xyuas kom meej tias ua raws.
PACE Audit Reports thiab Corrective Action Plans:
Saib hauv qab no rau cov Ntawv Tshaj Tawm Kev Tshuaj Xyuas thiab Cov Phiaj Xwm Kho Tshiab tshaj plaws.
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