Discovery Review Tools ~ January 1, 2015 – December 30, 2015
Return to FSQAP Discovery Review Tools Archive
Review Tools ~ (PDF)
Person Centered Review (PCR)
Title | Record Review Tool |
---|---|
2015 PCR Individual Interview Tool (with 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)