Get Rule 116

This guide provides clear and supportive instructions on how to complete the Rule 116 form online. Whether you have legal experience or not, this resource is designed to help you navigate each section of the form with ease.

Follow the steps to successfully complete the Rule 116 form.

1. Click the ‘Get Form’ button to access the Rule 116 form and open it in the online editor.
2. Fill in the dates of review in the designated fields, ensuring that the format aligns with the required style (MM/DD/YYYY).
3. Enter the Med Tracking number accurately in the specified section.
4. Provide the names of BQM reviewers along with their titles in the corresponding fields.
5. Input the details of the provider agency, including the agency director and contact information, ensuring all information is current.
6. Document the CILA site reviewed, along with its contact information.
7. List the individuals and ADSP staff reviewed, using the prescribed coding system (A, E, G, W, X) as necessary.
8. Review and verify all entries in the policies and procedures section, marking findings as 'Met', 'Not Met', or 'N/A' as appropriate.
9. Once all information is filled out, save your changes and review the entire form for any necessary adjustments.
10. Download, print, or share the completed form as required.

Start filling out your Rule 116 form online now for a streamlined review process.