The State of Nevada, Division of Health Care Financing and
Policy (DHCFP), Quality Assurance (QA) Team is responsible to ensure that the
1915(c) Home and Community Based Services (HCBS) Waivers and Personal Care Services (PCS) Programs effectively meet our recipients' needs and are implemented in
accordance with Medicaid statute and regulations, program policies, federal
statutory assurances, waiver requirements, Nevada Revised Statutes (NRS),
Nevada Administrative Code (NAC) and the Code of Federal Regulations (CFR).
The Centers for Medicare and Medicaid Services (CMS) expects
states to follow a continuous quality improvement (CQI) process in the
operation of each program. The process
involves a continuous monitoring of the implementation of each program, methods
for remediation or addressing identified individual problems and areas of
noncompliance, and processes for a) aggregating collected information on
discovery and remediation activities, and b) prioritizing and addressing needed
systems changes on a regular basis. Through an ongoing process of discovery,
remediation, and improvement, the State assures the health, safety and welfare
of the recipients by monitoring (a) level of care determinations; (b) recipient's plans and services delivery; (c) provider qualifications; (d) recipient health safety and welfare; (e) financial oversight and (f)
administrative oversight regarding the quality management (QM) of the programs.
Medicaid Service Manuals
Home and Community Based Services (HCBS) Waivers
- HCBS for Individuals with Intellectual Disabilities and Related Conditions (ID)
- HCBS for the Frail Elderly (FE)
- HCBS for Individuals with Physical Disabilities (PD)
MCQA General Guidance Letters
Home and Community Based Services (HCBS) State Plans
- HCBS Adult Day Health Care (ADHC) & Habilitation Services (HS)
- HCBS Specialized Foster Care (SFC)