Common use of Peer Reviews Clause in Contracts

Peer Reviews. a. CDDO Peer Reviews shall be conducted once every two years on all CDDOs in the State of Kansas. b. Peer Reviews shall consist of both desk review and onsite review of quality assurance and performance measures limited to and as defined by federal and state statute and regulation, Formally Adopted KDADS policies, and this Contract, the HCBS IDD CMS-approved waiver. c. The CDDO shall cooperate with the peer review team by providing access to any records, documents or other information as requested by the review team regarding or relating to the execution and/or performance of this Contract. d. KDADS or its designee, reserves the right to audit CDDO records for compliance regarding complaints, deficiencies and identified areas of compliance related to CDDO administration, including federal financial participation standards and quarterly quality assurance review of functional assessments. e. KDADS will provide a written report within ten business days to the CDDO following the on-site Peer Review. The findings of the Peer Review team will be considered final unless the CDDO contests the findings and provides a rebuttal. f. If the CDDO would like to provide a rebuttal, they will have 10 business days from the submission of the KDADS report to do so. A final report from KDADS will be due within 10 business days from the submission of the CDDO rebuttal. The CDDO rebuttal will be added to the original report and the report will be updated to reflect the outcome of the rebuttal. g. The final report will include a request for a performance improvement plan, if applicable. The timeline for the performance improvement plan will be identified in the final report. h. The findings of the Peer Review team will be final unless KDADS or CDDO contest the findings in accordance with the Peer Review Policy or as allowed under state law. i. Results of the peer review shall not be made available or posted publicly until final determination has been made.

Appears in 2 contracts

Sources: Affiliation Agreement, Participating Cddo Agreement