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UPDATE ON CONSUMER-DIRECTED SERVICES QUARTERLY AND ANNUAL REPORTS

December 30th, 2015

Consumer-Directed Services (CDS) Vendors who are enrolled with Missouri Medicaid (MO HealthNet) are required to provide certain reports.  These reports are submitted either quarterly or annually  to Missouri Medicaid Audit and Compliance (MMAC).  Currently, Missouri statutes and regulations outline the … Continued

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ADEQUATE DOCUMENTATION FOR PROGRESS NOTES

December 23rd, 2015

The Missouri Medicaid Audit and Compliance Unit (MMAC) has received questions from providers whose agencies provide certain types of services under the Department of Mental Health DD Waiver program.  Specifically, providers of day habilitation services have requested clarification regarding adequate … Continued

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AUDIT GUIDELINES FOR IN-HOME SERVICES AND CONSUMER DIRECTED SERVICES PROVIDERS

December 21st, 2015

Missouri Medicaid Audit and Compliance (MMAC) has received inquiries from personal care providers, regarding MMAC audit guidelines.  Providers want to know what types of documents MMAC auditors will request, as well as what constitutes adequate documentation.  Providers also want to … Continued

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ICD-10 AND THE ADULT DAY CARE WAIVER PROGRAM

December 11th, 2015

ICD-10, or The International Classification of Diseases, 10th Revision, went into effect October 1, 2015. It is a revision of the ICD-9-CM system which physicians and other providers have used to code all diagnoses, symptoms, and procedures recorded in hospitals … Continued

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PRIVATE DUTY NURSING UPDATE

December 11th, 2015

Some MO HealthNet-enrolled Private Duty Nursing (PDN) agencies are also enrolled to provide other types of services.  For instance, a PDN agency may also be a provider of in-home services.  Different program rules apply to PDN than to other programs. … Continued

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