Failing the Adjusted Application Report Card affects the frequency of monitoring. The Program Manager may waive annual monitoring if the county department of social services submits and is approved for waivers of report card failures. Counties who fail the report card in any category three or more times in a year will be monitored annually regardless of whether waivers are approved.
For a waiver of a report card failure to be approved, the agency must submit clear and convincing evidence that it took all steps possible to process applications in a timely manner in the categories and months of failure. The county's reasons for not meeting the compliance thresholds must be compelling and must result from factors beyond the control of the agency.
REISSUED 09/01/10 – CHANGE NO. 11-10
Counties are responsible for using the following mechanisms to detect and prevent incorrect calculations of APT and PPT. The general rule is that if any of these mechanisms were available to the county to detect and correct its error and the county failed to do so, the Program Manager will not support a waiver or recalculation of the processing time.
Note: Incorrect processing times can occur due to data entry error that is not detected by available mechanisms. In these instances, the field staff supervisor may support a county's request for waiver.
Examples: Failing to enter an application as administrative that should not count in processing compliance or incorrect data entry at disposition (once an application is dispositioned the county cannot correct errors). In all cases, the recipient must not have suffered any delay in benefits or in receipt of notice of disposition.
REVISED 09/01/10 – CHANGE NO. 11-10
Fax the request to the Field Staff Supervisor at the Division of Medical Assistance for review. The fax number is (919) 715-0801.
REVISED 11/01/11– CHANGE NO. 15-11
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.