Case Reading Review – A review that allows users to quickly review a case, or a specific aspect of a case, when a more detailed case review is not necessary. Refer to the TxROCS User’s Guide for instructions on entering a case reading review in TxROCS.
Compliance – Adhering to the federal and state laws, regulations, guidelines, and specifications that are outlined in this manual and in the CRS Standards for Providers Manual, Contracting Processes and Procedures Manual, and DARS Procurement Manual. A case is compliant if it meets all of the requirements. For information about evaluating compliance, refer to the MOSAIC Process Guide, Appendix C: Compliance and Quality Case Review Guide, Section III: MOSAIC - Case Review Guide.
Compliance and Quality Review (C&Q) – A review of the compliance and quality aspects of a vocational rehabilitation case. C&Q reviews can be completed using an entire or partial approach. Refer to the TxROCS User’s Guide for instructions on entering a C&Q review in TxROCS.
Entire Review Approach – A case review approach that requires the reviewer to answer all questions in the review before the review can be considered complete. The approach can be used for compliance and quality reviews, technical and purchasing reviews, and full reviews.
Full Review – A review that includes both a technical and purchasing (T&P) review and a compliance and quality (C&Q) review of a case that is started as a single full review in TxROCS. The reviewer must answer all questions in both the T&P and C&Q sections of the review before the review can be considered complete. Refer to the TxROCS User’s Guide for instructions on entering a full review in TxROCS.
Monitoring, Oversight, and Internal Controls (MOSAIC) Process Guide – A guide that describes the quality assurance system and monitoring processes. The MOSAIC guide provides information about the risk assessment model. It explains how reviewers use the model to develop quarterly monitoring plans and how regions use it to develop and report on action plans to address monitoring results.
Partial Review Approach – A case review approach that allows the reviewer to complete and finalize a case review without answering all of the questions in the review. The approach can be used for compliance and quality reviews or technical and purchasing reviews. It cannot be used for full reviews.
Quality – An assessment of the level of service and other forms of support provided to a consumer throughout the consumer’s case. Quality casework is demonstrated by values- based decision making, active participation by the consumer, and compliance with all required policies and standards. Quality is assessed based on a thorough review of all related casework and documentation. Quality is rated as exceeds expectations, meets expectations, or needs improvement. For more information about quality assessments, refer to the MOSAIC Process Guide, Appendix C: Compliance and Quality Case Review, Section III: MOSAIC - Case Review Guide.
Technical and Purchasing Review (T&P) – A review of the technical and purchasing aspects of a vocational rehabilitation case. T&P reviews can be completed using an entire or partial approach. Refer to the TxROCS User’s Guide for instructions on entering a T&P review in TxROCS.
TxROCS Users Guide – A technical guide that explains how to navigate through the TxROCS application. The TxROCS User’s Guide is not a policy manual.
TxROCS User Role – Distinct roles that define what the user is allowed to use in TxROCS. User roles prohibit reviewers from viewing case reviews and reports that are not within the reviewer’s assigned management unit. For more information on user roles, refer to the TxROCS User’s Guide.
Validate – To verify that required corrective actions have been completed appropriately. When the validator is satisfied that the corrective actions have been completed appropriately, he or she selects the "Completed Validation" button on the Actions page in TxROCS. When the validation is complete, the case review is final and no further changes may be made to the case review.