Quality Assurance takes place through a variety of methods, including but not limited to:
- Monitoring network providers for contract compliance
- Investigating complaints and incident reports and monitoring for trends
- Monitoring performance and outcome measures
- Reviewing of compliance and quality elements of each provider through the Provider Report Card
- Monitoring of the network to ensure providers are transitioning to a Recovery Oriented System of Care by effectively and accurately executing evidence-based practices, emerging trends, and promising practices, such as, Integration of Primary and Behavioral Health Care, Trauma Informed Care, and Cultural and Linguistic Competence
- Evaluating network provider services of secret shoppers
Provider Incident Reporting
Incidents must be reported into the Incident Reporting and Analysis System (IRAS) within one business day of occurrence/discovery. Incidents that have an immediate impact on the health or safety of a consumer, has potential media impact, or involves employee-related incidents of criminal activity, must be reported immediately upon discovery to your contract manager.