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DHHS centralizes agreement monitoring, introduces risk‑based oversight
Summary
DHHS announced a centralization of contract/grant/MOU monitoring and a risk‑assessment approach to set minimum monitoring levels; providers should expect changes in monitoring frequency, contacts, and requested documentation.
Jessica Hooper, director of the Office of Service Review, told providers that DHHS is centralizing its agreement monitoring to create a consistent approach for reviewing contracts, grants and MOUs across the department. She said centralization will give the Office of Service Review authority for some monitoring while other monitoring will remain decentralized within divisions.
"DHHS has been undergoing a centralization effort in our agreement monitoring process," Jessica Hooper said, and she introduced Jen Brager as the department's agreement monitoring specialist who will help implement the new approach. Hooper explained the definition of “agreement” includes contracts, MOUs and grants and described typical monitoring activities such as phone calls, site visits, desk reviews, surveys and third‑party accreditation reviews.
Hooper and Brager advised providers the department is implementing a weighted risk assessment to determine minimum monitoring levels and that low/medium/high categorizations are used to set monitoring frequency. Providers were told these risk levels are not disciplinary markers but an administrative tool to focus oversight, and that DHHS will contact providers ahead of monitoring events and publish tools and FAQs on the CQI website.
DHHS staff provided an agreementmonitoring@utah.gov contact and named staff who monitor the mailbox. They also listed types of documentation that may be requested (client files, employee background checks, training records, billing to verify services) and said providers may see desk reviews, self assessments or in‑depth on‑site reviews depending on the agreement type.
