A BILL TO BE ENTITLED
AN ACT To appropriate Funds and to DIRECT THE STATE AUDITOR TO conduct AN Audit To determine the Medical and Clinical quality and the adequacy of Care and Services Delivered Through the COMMUNITY ALTERNATIVES PROGRAM FOR DISABLED ADULTS (cap/da), AS RECOMMENDED BY THE NORTH CAROLINA STUDY COMMISSION ON AGING.
The General Assembly of North Carolina enacts:
SECTION 1.(a)  The Office of the State Auditor shall conduct an audit of the medical and clinical quality and the adequacy of care and services delivered through the Community Alternatives Program for Disabled Adults (CAP/DA).  This audit shall build upon the results of the audit conducted by the Office of the State Auditor in accordance with S.L. 2003‑284, Section 10.29B(a) and the study conducted by the North Carolina Institute of Medicine in accordance with S.L. 2002‑126, Section 10.16(c). 
SECTION 1.(b)  In conducting this audit, the Office of the State Auditor shall determine compliance with CAP/DA waiver guidelines and program goals.  The audit shall include review of: case files to assure compliance with the requirement for medical necessity, plans of care, and the provision of needed services; service provider standards and monitoring of these standards; safeguards to protect the health and welfare of clients; whether clients are institutionalized when necessary; an independent assessment function for the program; and any other items the Auditor considers appropriate. Components of the study shall include: a qualifications review of case managers and providers; a documentation review of medical justification, care plans, and a comparison of services provided to services prescribed by the attending physicians; and in‑home client visits to discuss care and document services.
SECTION 1.(c)  The Office of the State Auditor shall report the results of this audit, as well as the current status of recommendations resulting from the audit authorized by S.L. 2003‑284, Section 10.29B(a), to the North Carolina Study Commission on Aging by February 1, 2006.
SECTION 2.  There is appropriated from the General Fund to the Office of State Auditor the sum of one hundred fifty thousand dollars ($150,000) for the 2005‑2006 fiscal year to fund the audit of the medical and clinical quality and the adequacy of care and services delivered through the Community Alternatives Program for Disabled Adults (CAP/DA).
SECTION 3.  This act becomes effective July 1, 2005.