Medicaid Compliance Unit

% of External Quality Review Organization (EQRO) audit findings that are repeat audit findings

0.0%2021

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Notes on Methodology

Partners
  • Department of Aging and Independent Living (DAIL)
  • Vermont Department of Health (VDH)
  • Department of Mental Health (DMH)
  • Department for Children and Families (DCF)
  • Agency of Human Services Central Office (AHS-CO)
Story Behind the Curve

This performance measure is important because it shows our commitment to improving issues of non-compliance in our Medicaid program.

This measure shows the frequency and percentage of repeat findings during any of the three annual EQRO audits. Repeat findings occur when we fail to fully correct a finding from a previous year. Repeat findings are rare for these audits and typically result from technology limitations or corrective action plans that are complicated and take more than one year to complete. There are no specific penalties for repeat findings but keeping the numbers at or close to zero demonstrates our commitment to compliance with these requirements.

When findings are received, they are reviewed with the Compliance Committee as well as the departments/units involved with the findings. Corrective action is taken on all findings and progress is reported to AHS and the auditors. Once fixes are in place, we only revisit them preceding the next EQRO audit.

When looking at the trend line, it is important to remember that the chart is showing the percent of all findings that were repeated for that year. In 2016, we had one repeat finding. In 2017 and 2019, we had two repeat findings. This is a very small percentage of the overall standards the auditors assess, but our goal is still zero repeat findings. 

Narrative last updated:  02/02/22

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy