Viewing: Program Integrity
August 29, 2019
CMS guidance clarifes the applicability of electronic visit verification requirements to beneficiaries with live-in caregivers, services rendered partially in the home, and to the provision of medical supplies, equipment and appliances as part of the Medicaid home health benefit. The guidance also addresses the use of web-based electronic timesheets as a method of EVV.
August 27, 2018
he National Core Indicators (NCI) released a data highlight titled “How Can States Learn from State and National NCI Results to Reduce and Manage the Risk of Abuse, Neglect and Exploitation of Adults with I/DD?” The highlight speaks to the 2016-2017 Adult Consumer Survey Data, which indicates that 20% of respondents felt afraid in at least one setting such as in their home, day program, at work, walking in their neighborhood, and/or in transport. State results ranged from a low of 5% of people reporting the felt afraid in at least one setting, to a high of 36% of people reporting the same.
July 2, 2018
On June 25, the House passed a bill by voice vote that calls for a one-year delay in implementation of electronic visit verification (EVV) systems for Medicaid-funded personal care services.
January 3, 2017
Medicare and Medicaid payments remain high on the list of the US Department of Health and Human Services Office of Inspector General (HHS/OIG) priorities in its 2017 Work Plan.
November 16, 2016
CMS has issued a RFI with a broad request for additional reforms and policy options to accelerate the provision of HCBS to Medicaid beneficiaries.