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Adam Meier, Director
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Home » Quality Assurance Division

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Quality Assurance Division

Quality Assurance Division main page

Quality Assurance Division

"Improving the Lives of Others"

Mission: Promote and protect the health, safety, and well being of people in Montana by providing responsive, independent assessment and monitoring of human services, through respectful relationships.

Services:

  • Certifying health care services
  • Licensing health care and residential services
  • Licensing child care
  • Detecting and investigating abuse and fraud committed by recipients of Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance to Needy Families (TANF), Medicaid and  Low Income Energy Assistance Program (LIEAP)
  • Recovering recipient overpayment claims for TANF, Medicaid and SNAP
  • Performing federally mandated quality-control reviews of the Medicaid and SNAP
  • Reducing Medicaid costs by identifying others responsible for paying a beneficiary's medical expenses
  • Paying for beneficiary’s private health insurance when it is cost effective
  • Conducting retrospective reviews of Medicaid provider claims
  • Determining medical necessity for prior authorization of medical services and requests for durable medical equipment
  • Maintaining a certified nurse aide registry
  • Approving and monitoring nurse aide training programs
  • Managing the marijuana program registry
  • Certificate of Need program

Quality Assurance Division

  • Contact QAD
  • Complaint Procedures

Regulated Facility Lists

  • Private Alternative Adolescent Residential and Outdoor Programs
  • Child Care Facilities
  • Public Facility Search Information

Programs and Services

  • Annual Health Care Facility Reports
  • Certificate of Need
  • CNA/HHA Program
  • Marijuana Program
  • Network Adequacy
  • State Rural Health Plan
  • Radiation Machine Registration
  • Medicare Rural Hospital Flexibility Program

Bureaus

  • Certification
  • Licensure
  • Program Compliance

How Do I . . .

  • Apply for a facility license
  • Find a child care facility
  • Help pay for child care
  • Report Fraud
  • Apply for a CNA Certification

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