QLARANT FLORIDA STATEWIDE QUALITY ASSURANCE PROGRAM COVID-19 UPDATE

In light of the emerging coronavirus (COVID-19) pandemic Qlarant has stopped all onsite and in person review activities effective immediately and will be implementing new procedures to continue Quality Assurance Reviews.

To ensure everyone’s safety and that no one is exposed to unknown carriers of the COVID-19 virus, the Agency for Healthcare Administration (AHCA) has directed Qlarant to begin adhering to the following guidelines when conducting Provider Discovery Reviews and Person Centered Reviews:

Provider Discovery Reviews (PDR):

  • Discontinue provider on-site reviews; perform desk reviews instead.
  • Require providers with electronic capability to send all information related to the PDR review via a secure data sharing program.
  • Require providers that do not have electronic capability to send all information via a secure fax.
  • Request six months of claims data to review rather than one year to cut down on the amount of paper and files transmitted.

Person-Centered Reviews (PCR):

  • Conduct the review via telephone or videoconference with the recipient.
  • For recipients who do not use words and/or who may not understand questions, request that a proxy (e.g., family member, caregiver) participate on the phone call as well.

For Waiver Support Coordinators and Service Providers projected for review in April, May or June, a Qlarant Reviewer will contact you with more details and next steps to include scheduling and gathering needed documents to complete the review. If you anticipate a problem or have difficulty complying with your review, please let your Qlarant Reviewer know right away. We understand these are difficult times and will do our best to work with you.

While the coronavirus (COVID-19) outbreak is a rapidly changing situation, Qlarant will continue to work in partnership with AHCA and the Agency for Persons with Disabilities (APD) State and Regional offices to address changing needs and priorities. Improving the quality of supports and ensuring the safety, health and wellbeing of Florida citizens with intellectual and developmental disabilities remains our top priority.

Please continue to check https://florida.qlarant.com for more updates.

 

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