Update: Quality Improvement Organization

The Public Consulting Group (PCG) serves as the DDA’s Quality Improvement Organization (QIO) and is an extension of DDA’s quality enhancement framework. PCG will:

• Monitor basic waiver assurances:
  –  Level of Care Reviews
  –  Service Record Reviews (including financial accountability)
  –  Critical Incident Reviews
  –  Qualified Provider Reviews
• Conduct utilization reviews to ensure that provider billing matches service authorizations
• Enhanced funding – PCG qualifies as an enhanced federal fund participation match from the Centers for Medicare and Medicaid
• Complete three National Core Indicator surveys:
  –  Family/Guardian Survey (due by June 2020) – Families or guardians of an adult with an intellectual or developmental disability who don’t live in the home
  –  Adult Family Survey (due by June 2020) – Families or guardians of an adult with an intellectual or developmental disability who live in the home
  –  Adult Face-to-Face Survey (due by June 2021) – Adults with intellectual or developmental disabilities receiving DDA service
• Develop a plan to align the DDA system with the Council on Quality and Leadership (CQL)’s best practices

For questions, please contact Staci Jones, Acting DDA Director of Quality Enhancement at staci.jones@maryland.gov.