Quality Control Overview
The DEBS Corrective Action team is a collaborative effort between DEBS district offices, the Administrative Support Bureau (Quality Assurance/ Quality Control Units), Staff Development, DEBS Administration, and DEBS Program staff. Corrective Action is charged with the implementation of corrective action strategies and the establishment of guidelines for the design, scheduling, completion, tracking, monitoring and compliance of different types of case reviews for both the CalFresh and
Medi-Cal programs. A portion of the CalFresh case reviews are mandated by Federal and State regulations via Quality Control reviews, while Quality Assurance reviews are meant as an error-prevention tool in hopes of identifying errors before they are cited by Quality Control (QC), and could potentially affect our county’s CalFresh error rate.
The QC Unit is responsible for conducting a random sample of case reviews that are mandated by the Federal and State government which determine Santa Clara County’s Active and CAPER error rates. The State and/or county may receive financial sanctions if the Active error rate percentage is higher than the federal tolerance level.
The case review results are analyzed frequently to help identify error prone areas; to provide timely and adequate corrective action solutions; and to evaluate the effectiveness of the provided corrective action strategies; thus ensuring the highest benefit payment accuracy rate possible, and also ensuring the county is in compliance with federal, state and county regulations.
For more detailed information on Corrective Action and the Quality Assurance process, please refer to Corrective Action Overview and Quality Assurance.
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