Office of the Inspector General

Divisions of OIG

Board of Review

Investigations & Fraud Management

Medicaid Fraud Control

Office of Health Facility Licensure and Certification

Olmstead

Quality Control

Related Web Sites

Main Office Contact Information

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

REPORT FRAUD
Report WV Healthcare Crimes

Report WV Recipient Welfare Fraud
Common Chapters
Common Chapters Manual

QC Contact Information

Marilyn L. Trout
Director

 

Linda L. Rhodes
Secretary

 

Retha Lilly
Assistant Director

 

Greg Bail

Administrative Specialist

 

Capitol Complex
Building 6, Room 817-B
Charleston, WV 25305


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

Field Supervisory Staff

Debra Berdine

(304) 637-5560

Deborah Blevins

(304) 256-6930 ext 78854

Kent Wakefield

(304) 746-2360, ext 22052

Sue Simons

(304) 927-0956

Acrobat Reader


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 SNAP (formerly 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 SNAP (formerly 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

 

                                SNAP (formerly Food Stamp) Annual Report FY-2011

                                West Virginia Works Annual Report FY-2011

                                Medicaid Annual Report FY-2011

                                PERM Medicaid Report 2010

LINKS

                               Quality Control Supervisor Regional Map

                               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 02/07/2013.
Please send any Comments or Suggestions to: Carol Abbott