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IQCP

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Eligibility Determination for Individualized Quality Control Plan (IQCP) Option

Does your state/jurisdiction allow for use of


an IQCP to reduce the frequency of daily
external quality control?

NO

YES

Ineligible for IQCP: Follow QC requirements


in state regulations and default CAP QC
requirements

What is the complexity of the test?

WAIVED

NONWAIVED

Ineligible for IQCP: Follow manufacturers


QC instructions and CAP Checklist
requirements for waived testing

Is the test under the CMS specialty of


Anatomic Pathology (ANP) or Cytopathology
(CYP), not including tests that can be
assigned to other CMS specialties*?

YES

NO

Ineligible for IQCP: Follow default CAP QC


requirements

Does the test, instrument or device have an


internal control process (electronic,
procedural, or built-in)?

NO
Does the test involve the use of microbiology
media or panels used for microbial
identification (with 2 or more substrates) or
susceptibility testing?

NO
Ineligible for IQCP: Follow default CAP QC
requirements

YES
YES

Do the manufacturers instructions allow for


external quality materials to be run less
frequently than the default** CLIA and CAP
QC frequency?

NO
Ineligible for
IQCP: Follow
default CAP QC
requirements

YES
Eligible for IQCP:
Follow Checklist
requirements for
IQCP

* ANP or CYP tests are ineligible for IQCP unless the testing can be billed under another CMS specialty.
** The default CAP QC frequency for external quality control materials is as follows:
1) Quantitative tests - two controls at different concentrations each day of patient testing, except for Coagulation tests (two levels
every eight hours) and Blood Gas testing (one level every eight hours)
2) Qualitative tests positive and negative controls each day of patient testing.
IQCPE 4.0
FEBRUARY 2016

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