Discovery Review Tools ~ July 1, 2014 – December 30, 2014
Return to FSQAP Discovery Review Tools Archive
Review Tools ~ (PDF)
Person Centered Review (PCR)
| Title | Record Review Tool |
|---|---|
| Individual Interview Instrument (February 2010) | Download |
| Health Summary | Download |
Provider Discovery Review (PDR)
Service Specific Individual Record Review (SSRR)
| Title | Record Review Tool |
|---|---|
| Behavior Analysis | Download |
| Behavior Assistant | Download |
| CDC+ Consultant | Download |
| CDC+ Representative | Download |
| Life Skills Development 1 (Companion) | Download |
| Life Skills Development 2 (Supported Employment) | Download |
| Life Skills Development 3 (Adult Day Training) | Download |
| Personal Supports | Download |
| Residential Habilitation (Standard) | Download |
| Residential Habilitation (Behavior Focus) | Download |
| Residential Habilitation (Intensive Behavior) | Download |
| Respite (under 21) | Download |
| Special Medical Home Care | Download |
| Supported Living Coaching | Download |
| Waiver Support Coordination | Download |
Request for Reconsideration (updated February 1, 2014)
If you disagree with the findings related to noted billing discrepancies in your Provider Discovery Review (PDR) report, you may request a Reconsideration Review. The Reconsideration Request must be made in writing (using the Reconsideration Request form located below) and received within 30 days of your receipt of the annual PDR report.
- Reconsideration Request Procedures [pdf] (February 2014)
- Reconsideration Request Form [pdf] (February 2014)