Appendix C: Participant Services, Quality Improvement: Qualified Providers, Methods for Discovery: Qualified Providers; 1. Sub-Assurances, Performance Measures, page 177

Concerns about the appropriateness of LRIs continuing to provide consumer-directed assistance services have been raised. There are also concerns about other models of service delivery. To address these concerns, DMAS uses Performance Measures to identify problems. Rather than prohibit LRIs from being paid caregivers, a similar process of assuring quality services that is used for all other providers could be used so that the concern can be addressed without tens of thousands of families believing they are being discriminated against.

RECOMMENDATION:  Add a Performance Measure Due that would identify the number of LRIs for which objective written documentation and descriptions of concerns raised by DMAS about the appropriateness of the LRI in this role and the extraordinary care that is provided by the paid LRI.