Quality Improvement Organization Manual (Pub. 100-10), Ch. 9 § 9035.3.1
Corrective Action Plan (CAP) Request
9035.3.1 – Corrective Action Plan (CAP) Request
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
The QIO Sanction Panel may suggest that the provider/practitioner submit a written CAP
as appropriate. If requested from the practitioner or other person, the written CAP should
be submitted to the QIO Sanction Panel within 30 days of request. The QIO Sanction
Panel must review a written CAP that the practitioner or other person submits and the
panel must approve or request modifications to it.
Regardless of whether submitted by the practitioner or other person or developed by the
QIO Sanction Panel, the CAP should include timeframes and a method of follow-up
evaluation and provide clear instructions on what constitutes successful completion of the
CAP.
The QIO must communicate the CAP to the practitioner or other person in writing and
should document acceptance of the CAP by having the practitioner or other person sign
and return a copy of the CAP to the QIO.