Quality Oversight & Utilization Alignment Training

Training Topics

Month 3 – Quality Oversight and Utilization Alignment Focus: Sustaining quality through supervision and utilization management. Topics • Service authorization, eligibility, and medical-necessity documentation • Linking documentation to amount, scope, and duration of services • Supervisory chart reviews and feedback methods • Using QA and UM data to guide continuous improvement Objectives • Reduce findings related to authorization, eligibility, or supervision • Embed documentation oversight into everyday supervisory practice Relevant Review Citations • iSPA E.2.C: Required elements of evaluation/re-evaluation, eligibility timelines, and compliance documentation. o Utilization Management Themes: Service authorization (amount, scope, duration), medical necessity, and monitoring authorizations. o Clinical Supervisor Role in QA: Best practices for supervisory chart reviews and documentation monitoring.