DMH Compliance Reports

DMH Compliance Reports A. Following comprehensive compliance reviews conducted by DMH, DMH will issue to the certified agency provider a comprehensive Compliance Report. B. Depending on the provider’s certification type and the type of review(s) conducted, areas which may be addressed in the comprehensive Compliance Report may include, but are not limited to, administrative and/or on-site compliance review findings regarding the applicable DMH Operational Standards rules, Financial/Grants Management Audits findings, Peer Reviews, Fidelity Reviews, pre-affidavit screening, performance indicators, and/or provider grievance/complaints investigation findings. C. Comprehensive Compliance Reports may include the following components: 1. Scope and Purpose of the Report. 2. Description of the Compliance Process. 3. Findings by Area, including any data-driven/score-based findings. 4. Summary and Findings: degree of compliance threshold met. 5. Anecdotal information, such as DMH interview synopses of people served. 6. Recommendations. 7. Actions to be taken by the Provider, if any, including timelines. 8. Summary of Enforcement Protocol, if applicable. 9. References, if applicable. D. Additional, focused (i.e., noncomprehensive) compliance reports on a specific given area(s), including any of the areas listed above, may be issued by DMH to the certified agency provider, in addition to comprehensive Compliance Reports, on a schedule as determined by DMH. E. Compliance reports may be data driven and/or score-based, as applicable. Providers will be notified of scoring metrics prior to implementation.