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 long-term care facility 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 Health Care Association and LeadingAge Missouri. Long-term care facilities can expect to begin receiving letter regarding the credit balance audits after May 1, 2016.
Long-term care facility audits will be Medicaid-specific, and will be “desk audits”, where HMS will request that you send them information. This means HMS will not come on-site to conduct the audit.
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 long-term care facility audits.
Review Start Date Provider Name 6/1/2013 BLUFFS (THE) 6/1/2013 GIDEON CARE CENTER 6/1/2013 GOWER CONVALESCENT CENTER 6/1/2013 LAVERNA VILLAGE OF ST JOSEPH 6/1/2013 LUTHERAN SENIOR SERVICES 6/1/2013 MARY QUEEN AND MOTHER CENTER 6/1/2013 MILAN HEALTH CARE CENTER 6/1/2013 VILLA MARIE-A STONEBRIGDE COMMUNITY 6/1/2013 VILLAGES OF JACKSON CREEK, THE 6/1/2013 WESTWOOD HILLS HEALTH & REHABILITATION C
If you have any questions, please contact MMAC at tricia.smith@dss.mo.gov
