The QAA team ensures that the Home and Community Based Services (HCBS) 1915(c) Waiver and 1915(i) State Plan Programs meet our members' 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) expect states to follow a continuous quality improvement (CQI) process in each program. This means continuously monitoring each program, the methods
for remediation or addressing identified individual problems and areas of
noncompliance, and implementing 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 can better ensure 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) mental 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)
