{"id":523,"date":"2025-02-25T16:40:15","date_gmt":"2025-02-25T16:40:15","guid":{"rendered":"https:\/\/dhss.delaware.gov\/otsa\/qualitycontrol\/"},"modified":"2025-02-25T16:40:15","modified_gmt":"2025-02-25T16:40:15","slug":"qualitycontrol","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/otsa\/qualitycontrol\/","title":{"rendered":"qualitycontrol ~ Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\"> \n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/qualitycontrol.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]--><!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Office of the Secretary &#8211; Administration<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/otsa\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n    <li>\n      <a href=\"\/otsa\/about.html\">About Office of the Secretary &#8211; Administration<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/sections.html\">Sections &#038; Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/faq.html\">FAQs<\/a>\n    <\/li>\n   \n    <li>\n      <a href=\"\/otsa\/contact.html\">Contact Information<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/ofclocations.html\">Office Locations<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \n\n   <!-- <li>\n      <a href=\"\/rfp\/dhssrfp.htm\">Funding Opportunities<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/rfp\/dhssrfp.htm\">Requests for Proposals<\/a>\n    <\/li>-->\n    <li>\n      <a href=\"\/otsa\/arms\/reportfraud.html\">Reporting Fraud<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n    <li>\n      <a href=\"\/otsa\/epqc\/hsrbservice.html\">Human Subject Review Board<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/pubs.html\">Publications &#038; Forms<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/repstats.html\">Reports &#038; Statistics<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/itpubs.html\">Information Technology Publications<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/otsa\/actmanagement\/actcasemanagement.html\">ACT Case Management<\/a>\n    <\/li>\n  <\/ul><\/li>\n\n\n\n\n\n\n\n<!-- INFORMATION LINKS: When adding a link, make sure to include the hyperlink tag <a> around the text-->\n\n\n<!--    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n  <ul id=\"SocialMenu\">\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n    <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> \n  <\/ul>\n<\/li>  -->\n<\/ul>\n\n\n\n\n              <\/div>\n\n\n            <\/div>\n\n\n          <\/div>\n\n\n        <\/div><br>\n\n\n      <\/div>\n\n\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n<h2>Quality Control Unit (QC)<\/h2><br>\n\n\n\n\n\n\n\n<p><strong>Quality Control Unit (QC)<\/strong>\n\n\n\n &#8211; Reviews a statistical sample of various public assistance program cases to determine the accuracy of benefits received based on policy and procedure of each program reviewed. Quality Control sends information to the Division of Social Services and the Division of Medicaid and Medical Assistance to use for corrective action to improve customer service to Delaware residents.<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n<li><strong>Communications, Contact and Policies<\/strong>\n\n\n\n<ul>\n\n\n\n<li><a href=\"https:\/\/coronavirus.delaware.gov\/\">Covid-19<\/a><\/li>\n\n\n\n\n\n\n\n<li><a href=\"https:\/\/regulations.delaware.gov\/AdminCode\/title16\/Department%20of%20Health%20and%20Social%20Services\/Division%20of%20Social%20Services\/Delaware%20Social%20Services%20Manual\/index.shtml\">Delaware Administrative code<\/a><\/li>\n\n\n\n<li><a href=\"\/\">Delaware Internet Site<\/a><\/li>\n\n\n\n<\/ul><\/li>\n\n\n\n<\/ul>\n\n\n\n<ul><li><strong>SNAP Review Resources<\/strong>\n\n\n\n<ul>\n\n\n\n<li><a href=\"https:\/\/ecfr.io\/Title-7\/Volume-4\/Chapter-Ii\">Code of Federal Regulations &#8211; Food and Nutrition Program<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/fns-prod.azureedge.net\/sites\/default\/files\/snap\/FNS_310_Handbook.pdf\">FNS 310 Manual<\/a><\/li>\n\n\n\n<li><a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/activecase.pdf\">Active case Review Process and Toolkit<\/a><\/li>\n\n\n\n<li><a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/negativecase.pdf\">Negative Case Review Process and Toolkit<\/a><\/li>\n\n\n\n<\/ul><\/li>\n\n\n\n<\/ul>\n\n\n\n<ul><li><strong>Purchase of Care Review Resources<\/strong>\n\n\n\n<ul>\n\n\n\n\n\n\n\n<li><a href=\"\/wp-content\/uploads\/sites\/7\/otsa\/pdf\/purchaseofcare.pdf\">POC Review Process and Toolkit<\/a><\/li>\n\n\n\n<\/ul><\/li>\n\n\n\n<\/ul>\n\n\n\n<ul><li><strong>MEQC\/PERM(Medicaid)Review Resources<\/strong>\n\n\n\n<ul>\n\n\n\n<li><a href=\"https:\/\/www.cms.gov\/\">Center for Medicare and Medicaid Services(CMS)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicaid.gov\/federal-policy-guidance\/index.html\">Medicaid-Federal Policy Guidance<\/a><\/li>\n\n\n\n<!--<li>Penn Review Process and Toolkit<\/li>-->\n\n\n\n<!--<li>\n\n\n\nCode of Federal Regulations-Department of Health and Social Services-Medicare and Medicaid<\/li>\n\n\n\n<\/li>-->\n\n\n\n<\/ul>\n\n\n\n<\/li><li><strong>HR\/Training Information<\/strong>\n\n\n\n<ul>\n\n\n\n<li><a href=\"https:\/\/sso.delaware.gov\/oam\/server\/obrareq.cgi?wh%3Dsso.delaware.gov%20wu%3D%2FDESSOApplicationPortal%2F%20wo%3D1%20rh%3Dhttps%3A%2F%2Fsso.delaware.gov%20ru%3D%252FDESSOApplicationPortal%252F\">Identity Self Service<\/a><\/li> \n\n\n\n<li><a href=\"\/otsa\/hrm\/\">DHSS-HR<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/dhr.delaware.gov\/training\/index.shtml\">Department of Human Resources-Delaware Learning Center<\/a><\/li>\n\n\n\n<\/ul><\/li><\/ul>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n  <!--[END]-->\n\n\n  \n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Office of the Secretary &#8211; Administration Home About About Office of the Secretary &#8211; Administration Sections &#038; Programs FAQs Contact Information Office Locations Services Reporting Fraud Information Human Subject Review Board Publications &#038; Forms Reports &#038; Statistics Information Technology Publications ACT Case Management Quality Control Unit (QC) Quality Control Unit (QC) &#8211; Reviews a [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-523","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/523","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/comments?post=523"}],"version-history":[{"count":0,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/523\/revisions"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/media?parent=523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}