Tuesday, January 3, 2017

GAO: CMS Should Further Harmonize Program Requirements for Medicaid Personal Care Service Programs

Lilly Hummel

On December 22, the Government Accountability Office (GAO) issued a report evaluating CMS’ safeguards to protect beneficiaries receiving in-home personal care services and for ensuring billed services were actually provided. Specifically, the GAO reviewed policies in four selected states—California, Maryland, Oregon, and Texas—and found that each state had a process for monitoring beneficiaries and ensuring that billed services were actually provided, but that the processes varied across states.

This report follows an October 2016 report from the Department of Health and Human Services Office of Inspector General (OIG) that found significant compliance, payment and fraud vulnerabilities with Medicaid personal care services programs. The OIG continued previous recommendations that CMS improve oversight and monitoring of personal care services across all states.

No comments:

Post a Comment