Elimination of the
Inspection of Care Process (IOC)
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of BQA 98-028 (PDF, 5 KB)
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Date: May 13, 1998 DSL-BQA 98-028
To: Facilities for the Developmentally Disabled FDD 11
From: Judy Fryback, Director, Bureau of Quality Assurance
Section 4751 of the Balanced Budget Act of 1997, eliminated the Inspection
of Care (IOC) portion of Utilization Control (UC). However, Facilities for the
Developmentally Disabled are still responsible for the Utilization Control requirements of
the Social Security Act, described in section 1902(a) of the Social Security Act and at 42
CFR 456.30 through 42 CFR 456.438 [Code of Federal
Regulations (exit DHS)].
Because of the elimination of the IOC process, BQA staff will no longer
conduct inspections of care to determine the adequacy, appropriateness, and quality of all
services, for each client receiving medical assistance. However, during the annual survey,
BQA surveyors will continue to review for the remaining components of UC, and establish
developmentally disabled care levels for all Medicaid clients to determine medical
assistance reimbursement.
If you have any questions, please contact your Regional Field Operations
Director [via the regional office].
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