Aging and Disability Services Council Sharon Swift Butterworth ...

(A) There is no CLASS Program documentation of completion of services delivered, but
there is a receipt for the purchase of adaptive aids/vehicle modifications or the completion of the
minor home modification.
(B) Bids were required for the purchase of an adaptive aid/vehicle modification or the
completion of a minor home modification and bids were not solicited.
(C) DADS reimburses the program provider for the purchase of medical supplies, but there
is no documentation available that price list/price quotes were obtained from three suppliers for
the items for which the provider has been reimbursed or the price list/price quotes were obtained
more than 12 months before the purchase.
(D) DADS reimburses the program provider for the purchase of adaptive aids, but there is
no documentation available that price list/price quotes were obtained from three suppliers for the
items for which the program provider has been reimbursed or there is no documentation
available that the supplier selected on an annual basis to deliver the adaptive aids had the lowest
prices for the main type of adaptive aids the agency has purchased.
(3) Administrative errors for the CMA include, but are not limited to, the following:
(A) The CMA does not provide a completed IPC and an updated IPP within seven days
from an interdisciplinary team meeting which results in the DSA providing services that at a later
date are rejected because the CMA failed to submit the IPC for DADS authorization.
(B) The DSA has the case information form on record which indicates that the DSA had
requested corrected service updates be made to the individual's IPC prior to providing the service
and the CMA provided authorization for that service on the case information form but failed to
submit a corrected IPC for DADS authorization.
§45.902. Financial Errors.
A reduction of 100 percent of the paid unit rate is the financial error exception. This exception is
applied to the unit(s) of service on the documentation reviewed in the CLASS Program. This
exception is not extrapolated. Financial errors include, but are not limited to, the following:
(1) DADS reimburses the program provider for services, but the CLASS Program
documentation of services delivered form, or facsimile, is missing for the period for which
services are reimbursed. DADS applies the error to the total number of units documented on the
time sheet.
(2) The habilitation service provider, nurse, therapist, or other professional leaves the entire
record of time section blank. DADS applies the error to the total number of units documented on
the time sheet.
(3) DADS reimburses the program provider for hours that exceed the authorization given by
DADS. DADS applies the error to the total number of units reimbursed in excess of the units
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