As reported in a previous gov.delivery message by Missouri Medicaid Audit and Compliance (MMAC), HMS will soon begin conducting credit balance audits on behalf of the Missouri Department of Social Services, MO HealthNet Division, (MHD) and MMAC. Click here to view the original message and website post.
When your hospital is scheduled for an audit, MMAC will send a letter notifying you, before you receive any correspondence from HMS. MMAC will also notify the Missouri Hospital Association. Hospitals can expect to begin receiving letters regarding the credit balance audits after May 1, 2016.
Hospital audits will be Medicaid-specific, and may be desk audits, where HMS will request that you send them information; or, the audits may be completed on-site.
Providers will all have the opportunity for an entrance and exit conference, and MMAC and HMS will provide contact information for any questions, comments, or concerns that providers may have.
HMS has prepared its initial schedule for hospital credit balance audits. Click here to view the schedule.
If you have any questions, please contact MMAC at tricia.smith@dss.mo.gov
