Title II, SEC. 2106. QUALITY ASSURANCE AND SAFEGUARDS. (a) Quality Assurance. The State plan shall specify how the State will ensure and monitor the quality of services, including (1) safeguarding the health and safety of individuals with disabilities, (2) the minimum standards for agency providers and how such standards will be enforced, (3) the minimum competency requirements for agency provider employees who provide direct services under this subpart and how the competency of such employees will be enforced, (4) obtaining meaningful consumer input, including consumer surveys that measure the extent to which participants receive the services described in the plan of care and participant satisfaction with such services, (5) participation in quality assurance activities, and (6) specifying the role of the long-term care ombudsman (under the Older Americans Act of 1965) and the Protection and Advocacy Agency (under the Developmental Disabilities Assistance and Bill of Rights Act) in assuring quality of services and protecting the rights of individuals with disabilities. (b) Safeguards. (1) Confidentiality. The State plan shall provide safeguards which restrict the use or disclosure of information concerning applicants and beneficiaries to purposes directly connected with the administration of the plan (including performance reviews under section 2602). (2) Safeguards against abuse. The State plans shall provide safeguards against physical, emotional, or financial abuse or exploitation (specifically including appropriate safeguards in cases where payment for program benefits is made by cash payments or vouchers given directly to individuals with disabilities).