CONTRACTOR and ADMINISTRATOR’s designee shall meet at least semi- 12 annually to review and evaluate a random selection of family case records.
CONTRACTOR and ADMINISTRATOR’s designee shall meet at least semi- annually to review and evaluate a random selection of Client records. The review may include, but is not limited to, an evaluation of the completeness and appropriateness of services provided, documentation, and timeliness and recordkeeping of service delivery. Records to be reviewed shall be selected by COUNTY. CONTRACTOR shall have all records pertaining to Clients ready for review at the scheduled time of each Utilization Review. When it is determined that services were not performed in accordance with this Agreement and/or County Policies and Procedures during the review period, COUNTY may, at its sole AMR0121 May 24, 2021 discretion, require corrective action plans. CONTRACTOR shall validate, review, and respond to preliminary findings. CONTRACTOR shall remedy the performance defects within the time period specified in the corrective action plan. AMR0121 May 24, 2021 ATTACHMENT A TO AGREEMENT BETWEEN COUNTY OF ORANGE AND PUBLIC CONSULTING GROUP LLC FOR THE PROVISION OF SUPPLEMENTAL SECURITY INCOME (SSI), STATE SUPPLEMENTARY PAYMENTS (SSP) and SOCIAL SECURITY DISABILITY INSURANCE (SSDI) CLIENT ADVOCACY SERVICES
CONTRACTOR and ADMINISTRATOR’s designee shall meet at 9 least semi-annually to review and evaluate a random selection of CLIENT case
CONTRACTOR and ADMINISTRATOR’s designee shall meet at least semi- annually to review and evaluate a random selection of FAMILY case records. The review may include, but is not limited to, an evaluation of the necessity and appropriateness of services provided and length of services. FAMILY cases to be reviewed shall be randomly selected by ADMINISTRATOR and may include both open and closed cases.
CONTRACTOR and ADMINISTRATOR’s designee shall meet at least semi- annually to review and evaluate a random selection of Client records. The review may include, but is not limited to, an evaluation of the completeness and appropriateness of services provided, documentation, and timeliness and recordkeeping of service delivery. Records to be reviewed shall be selected by COUNTY. CONTRACTOR shall have all records pertaining to Clients ready for review at the scheduled time of each Utilization Review. When it is determined that services were not performed in accordance with this Agreement and/or County Policies and Procedures during the review period, COUNTY may, at its sole AMR0121 May 24, 2021 discretion, require corrective action plans. CONTRACTOR shall validate, review, and respond to preliminary findings. CONTRACTOR shall remedy the performance defects within the time period specified in the corrective action plan. AMR0121 May 24, 2021 ATTACHMENT A TO AGREEMENT BETWEEN COUNTY OF ORANGE AND PUBLIC CONSULTING GROUP LLC FOR THE PROVISION OF SUPPLEMENTAL SECURITY INCOME (SSI), STATE SUPPLEMENTARY PAYMENTS (SSP) and SOCIAL SECURITY DISABILITY INSURANCE (SSDI) CLIENT ADVOCACY SERVICES I. PURPOSE To protect the integrity of the Social Services Agency’s (SSA) information technology infrastructure, ensure its availability, reliability, accessibility, and prevent unauthorized disclosure of Confidential Information, including Personally Identifiable Information. Additionally, this policy defines required responsibilities for all users of the SSA information technology infrastructure and supplements the Information Technology Security Policy (ITSP), County of Orange.
CONTRACTOR and ADMINISTRATOR’s designee shall meet at minimum 5 semi-annually to review and evaluate a random selection of family case 6 records. The Utilization Review (UR) may include, but is not limited to, an 7 evaluation of the necessity and appropriateness of services provided, length 8 of services, and timeliness of required report and administrative compliance. 9 Cases to be reviewed shall be randomly selected by ADMINISTRATOR and may 10 include both open and closed cases.
