State RH Program staff review providers to ensure the provision of quality services and
and billing practices.
On-site reviews of RH Program agencies are
conducted according to a three-year review schedule and include desk audits. Separate
desk audits of both RH Program and CCare-only agencies are conducted more frequently
and as needed.
For more information on the different types of reviews, see: Agency Review Types
For a schedule of all the types of review see: Review Schedule
The rest of the documents on this page are the tools state staff use to perform these on-site reviews and desk audits. Agencies may use them to prepare for an on-site review or for internal quality assurance / quality improvement practices.
While the RH Program uses the CVR for billing and data submission, the CVR does not substitute for charting. Clients' records must contain information sufficient to justify the diagnosis codes and medical services recorded on the CVR. This resource provides guidance of what chart notes must contain to support how the visit was billed.
Chart Documentation Guidance