Family and Children's Medicaid MA-3225 APPLICATION PROCESSING - CORRECTIVE ACTION PROCEDURES
V. LOCAL CORRECTIVE ACTION PROCEDURES FOR COUNTY DSS NON- COMPLIANCE
REISSUED 03/01/08 – CHANGE NO. 08-08
When a corrective action team must be convened, the Assistant Director for Recipient and Provider Services (or designee) will notify the DSS Director and convene the team within ten work days of notice that the DSS is subject to a local corrective action team. A date to hold the local corrective action team will be agreed upon by the two parties.
D. County Director Responsibilities
E. Members of the Local Corrective Action Team
F. Powers of the Local Corrective Action Team
1. The local corrective action team has broad powers and may design any remedy reasonable and necessary to bring the DSS into compliance with application processing requirements. This includes but is not limited to:
a. Employing additional staff.
b. Altering office procedures (such procedures must be consistent with federal and state regulations, laws and Department rules and policies).
c. Purchasing office equipment.
d. Retaining private consultants.
e. Reopening of cases and/or ordering retroactive relief to applicants harmed by violation of processing requirements.
2. The team will establish a corrective action plan within forty calendar days of notice that a local corrective action team was required, and a date for compliance with the plan shall be set. The date by which the compliance thresholds shall be met will be based upon the extent of the problem. Report card compliance must be achieved within three months after the date the compliance plan was required to be established.
3. Failure to take corrective action or meet compliance thresholds by the date established shall result in referral to the State Corrective Action Team unless the State Corrective Action Team grants an extension of time, not to exceed three months.
G. Format of Meetings of the Local Corrective Action Team
1. The Assistant Director for Recipient and Provider Services (or designee) will chair the meeting and describe the issues and purpose of the meeting.
2. The county director or his designee will have primary responsibility to present an analysis of problem(s) and action(s) taken to date.
3. The team members will discuss the analysis of the problem(s), causal factors, results of actions taken to date, and alternatives for additional actions that may be needed.
4. The team will then formulate its corrective action plan and establish timeframes for completion.
5. The plan adopted by the local corrective action team may include a request for an extension of time from the State Corrective Action Team. Requests for extensions should not be routine and should be reserved for those instances where corrective action measures will take more than three months to achieve compliance (i.e. hiring and training staff, etc.).
6. The DSS Director will make a request for an extension of time in writing to the Assistant Director for Recipient and Provider Services who will forward the request to the chairperson of the State Corrective Action Team. The request must include justification for the request for extension and a copy of the county corrective action plan, including threshold compliance data and other pertinent information.
H. Written Corrective Action Plan
The DSS director will prepare the agreed upon plan for approval by the local team members. The DSS director and chairman of the Social Services board will sign the plan. It will be submitted to the Assistant Director for Recipient and Provider Services within
40 calendar days from the date the notice of requirement for a local corrective action team was required.