Office of the Inspector General

Divisions of OIG

Board of Review

Civil Rights Compliance

Investigations & Fraud Management

Medicaid Fraud Control

Quality Control

Related Web Sites

Contact Information

Building #6
State Capitol Complex
Room 817-B
Charleston, WV 25305
Phone: (304) 558-2278
Fax: (304) 558-1992

REPORT FRAUD  

Report Medicaid Fraud, Patient Abuse, Neglect or Financial Exploitation

QA Contact Information

Marilyn L. Trout
Director

Linda L. Rhodes
Secretary

Retha Lilly
Assistant Director

Robert Sutphin

Administrative Specialist

 

Capitol Complex
Building 6, Room 831-B
Charleston, WV 25305


Phone: (304) 558-0630
Fax:     (304) 558-1992

 

Field Supervisory

Staff

Debra Berdine

(304) 637-5560

Cynthia Price

(304) 647-7476, ext 139

Kent Wakefield

(304) 746-2360, ext 2230

Brenda Whited

(304) 927-0956


                                                  Quality Control

The Quality Control unit conducts statewide reviews to determine the accuracy with which DHHR staff apply the various policies which govern eligibility requirements for applicants and recipients of agency benefits.  Each month, twenty-three (23) Quality Control reviewers reevaluate a statistically-reliable sample of customer benefit cases involving the Food Stamp, West Virginia Works, Medicaid (including  special  reviews as part of the West Virginia Medicaid Pilot), and other special projects as needed.  The results of these efforts provide a performance measurement of the integrity which the DHHR administers its programs.

The functions of Quality Control are mandated by federal regulations in order for the DHHR to receive matching funds for the Food Stamp and Medicaid programs.  In addition to its reviews of those and other programs, the unit often assists the agency with various special projects and audits as may be necessary or helpful.

 

               

REPORTS

 

                Food Stamp Annual Report FY-2006

                West Virginia Works Annual Report FY-2006

                Medicaid Annual Report FY-2006

                Medicaid Pilot Annual Report FY-2006

LINKS

                Online Quality Control Reports For DHHR Employees (Intranet: employees only)

                USDA Food and Nutrition Service (FNS) Quality Control

                National Association for Program Info & Performance Measurement

                American Public Human Services Association (APHSA)


This site was last modified on 05/20/2008.
Please Send Any Comments Or Suggestions to: kmorrison@wvdhhr.org