Provider Enrollment (pen)



Download 326.28 Kb.
Page6/9
Date09.06.2018
Size326.28 Kb.
#53871
1   2   3   4   5   6   7   8   9

Required Record Keeping


The Contractor must ensure compliance with all record keeping requirements stated in this Contract as well as the http://hhscx.hhsc.texas.gov/sites/extranet/files/docs/pcs/vendor-UTC.pdf . All records must be housed in a central location and made available and accessible to DFPS without limitations.


Table 2 - Required Records
      1. Individual Family Service Case Record


Purpose

To support and maintain details of services requested by DFPS and provided by the Contractor.

Minimum Requirements

Contractor will track all services provided in accordance with the Contractor's approved Plan of Operation and by using the appropriate PEI documentation forms. Contractor must ensure that all service documentation is complete, accurate, maintained in an organized fashion, and made available to DFPS staff upon request. Contractor must maintain records in a manner which protects the confidentiality of the Families being served. The Contractor must maintain individual client records. Records may be maintained electronically; however, Contractor must be able to promptly produce an easily legible hard copy of any records, if requested by DFPS. Family records must be housed or maintained in a central location, although backup copies of records may be maintained in an alternate secure location. The Case Record must contain, but is not limited to:
        1. Valid DFPS Authorization Form, with documented receipt date;

        2. Documentation notes and dates of all Family services occasions and any other Family service Contacts;

        3. Record of Contract-related notices and communications; Welcome Letter and postage stamped envelope;

        4. Initial and Ongoing assessment tools;

        5. Pre-Service Protective Factors Survey

        6. Program Experience Survey;

        7. Post-Service Protective Factors Survey

        8. Release of Information and/or Confidentiality Agreement


        1. Family Service Plans;
        1. Referral Logs;

        2. Receipts for Basic Needs Support

        3. Monthly Client Activity Logs; and

        4. A copy of all required reports.


        5. All required documentation for Program Supplies

        6. All required documentation for Program Outreach
      1. Required Personnel Records


Purpose

To support and maintain for monitoring purposes evidence of the Contractor’s minimum requirements for staff, Subcontractors, and volunteers with regards to qualifications.

Minimum Requirements

Individual file for each staff, Subcontractor and volunteer must include at a minimum, but is not limited to the following documentation:
        1. Documentation clearly establishing that the Contractor's Service Providers meet the minimum qualifications as required by this Contract:

          1. Background checks requirements;

          2. Business files to support compliance with insurance requirements; and

          3. Completed training.

      1. Billing Records


Purpose

To support and maintain for monitoring purposes evidence Invoices, payments and adjustments related to services provided by the Contractor and billed to DFPS.

Minimum Requirements

Contractor must create and maintain reliable and accurate records to support all actions related to invoicing, payments and adjustments for services provided to DFPS clients. Records must include at a minimum, but are not limited to the following:
        1. Copy of all Invoices submitted by the Contractor;

        2. Form 4116X, State of Texas Purchase Voucher;

        3. Documentation clearly establishing date signed Invoice was submitted;

        4. HIP Services Expenditure Report, Monthly Mileage Log, Basic Needs Support Receipts, Monthly Client Activity Log; and

        5. Any other supporting documentation requested by DFPS.



    1. Required Reports

The Contractor must ensure compliance with all reporting requirements stated in this Contract as well as the http://hhscx.hhsc.texas.gov/sites/extranet/files/docs/pcs/vendor-UTC.pdf




Table 3 - Required Reports2
      1. Monthly Report


Purpose

An overview of services provided on a monthly basis

Minimum Requirements
        1. Provide complete responses to questions included in the template


Format
        1. Monthly Report must be submitted using the PEIRS database or other data reporting tool.


Due Date
        1. Fifth (5th) day of the month following the month of service delivery or the next Business Day if the Fifth (5th) day of the month is not a business day


Submitted To
        1. PEI Program Specialist

      1. Annual Report


Purpose

To summarize services provided during the year

Minimum Requirements
        1. Provide complete responses to questions included in the template


Format
        1. Annual Report can be mailed or emailed.


Due Date
        1. Fifteenth (15th) day of October following the end of the Fiscal year


Submitted To
        1. PEI Program Specialist



    1. Goal and Performance Measures


Contractor performance evaluation is based on assessment of the output and Outcome measures outlined in Attachment A-1, Performance Measures and compliance with the terms and conditions of the Contract, as indicated by DFPS records and Contract monitoring performed by DFPS staff.
      1. Goal


The Goal of the Contract is to provide home visiting services and short term in-home parenting education using an Evidence Based or Promising Practice Program to Families with newborns, up to two (2) years of age and foster youth (current and former) who are pregnant, who have recently given birth and are parenting a child up to two (2) years old who have been identified by DFPS as being at risk of child abuse and neglect, in order to enhance protective factors in the Family and prevent child maltreatment.
      1. Performance Measures


In addition to the Contractor's compliance with all of its obligations and duties under the Contract, DFPS measure’s the performance of the Contractor on the basis of the Performance Measures contained in Attachment A-1, Performance Measures.


    1. Download 326.28 Kb.

      Share with your friends:
1   2   3   4   5   6   7   8   9




The database is protected by copyright ©ininet.org 2024
send message

    Main page