The fall session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for October 22, 23, 24, 2019.
The meetings will be held in Rooms 490-492 at the Harry S. Truman Building in Jefferson City from 10:00 a.m. to 3:00 p.m. each day. Providers should plan to attend one day only (material is the same for each day and providers pick the day they wish to attend).
The content of the fall sessions will focus on In-Home Services (IHS) and Consumer-Directed Services (CDS).
Our Adult Day Center, Residential Care Facility, and Assisted Living Facility providers are all welcome to attend, but it is not required and the content will focus on IHS and CDS.
The increased cost of insurance rates is affecting NEMT vendors across all Missouri geographical areas.
MO HealthNet is aware of this issue and is working with NEMT vendors to explore options to ensure MO HealthNet participants have transportation to their appointments.
We ask our MO HealthNet enrolled providers to please be cognizant of this and we encourage you to not unnecessarily penalize MO HealthNet participants should they have to cancel or are “no shows” for scheduled appointments due to lack of transportation.
The Department of Social Services (DSS) wants to alert providers to a genetic testing scheme that is currently happening in many states, including Missouri. On June 3, 2019, the U.S. Department of Health and Human Services (DHHS) Office of Inspector General (OIG) issued an alert regarding scammers offering individuals cheek swabs for genetic testing to obtain their Medicare or Medicaid information for identify theft or fraudulent billing purposes. Fraudsters are targeting beneficiaries through door-to-door visits, booths at public events, health fairs, and telemarketing calls.
DSS has received reports that genetic testing marketers have been contacting Missouri residents throughout the state. They might put on some type of game like bingo with prizes or food to get residents to come to them. Sometimes announcements are made to all senior housing residents over a building intercom system. They typically try to determine if the individual has Medicare or Medicaid coverage. They may be dressed in scrubs or white coats to give the appearance they are a health care professional. In some cases, they may indicate they represent a medical research facility.
They typically have a short questionnaire and ask whether any of the individual’s relatives have had cancer or other diseases. They indicate a genetic test can be conducted to determine if the individuals already has a disease, or if they are susceptible to acquiring the condition. In some cases, they indicate the test will tell whether the combination of prescription and over the counter medications the individual is taking are having an undesired interactions or adverse effects on their metabolism.
If the individual agrees to be tested, the representative obtains their Medicare or Medicaid numbers and uses a swab to take a saliva sample from inside their mouth. The individual might be asked to sign the questionnaire. They are typically told the test results will be sent to them in several weeks, usually somewhere between four and eight weeks. The individuals might not receive the results of a lab test later.
MO HealthNet participants who have been solicited by a genetic testing marketer to provide a saliva sample using a cheek swab, or have already provided one, please report it to the Missouri Medicaid Audit & Compliance (MMAC) by email at MMAC.ReportFraud@dss.mo.gov or by phone to the MMAC Fraud Hotline at (573) 751-3285.
The Missouri Medicaid Audit & Compliance (MMAC) Contracts Unit is experiencing delays in getting new “Participation Agreements for Home and Community Based Services” (contracts) to all enrolled In-Home Services (IHS) and Consumer Directed Services (CDS) providers. Most contracts expired on June 30, 2019. If you have not yet received your new contract(s) to be signed, notarized, and returned to MMAC; you should be receiving them within the next two weeks. All providers are assured there will be no lapse in the dates you were authorized to provide IHS or CDS services. Any questions should be directed to the MMAC Contracts Unit at MMAC.IHSContracts@dss.mo.gov
Missouri Medicaid Audit & Compliance (MMAC) requests that any provider who believes documentation in support of servicing Missouri Medicaid participants is no longer available due to recent weather events, complete the Attestation of Medical Record Loss or Destruction Form which can be found at
https://mmac.mo.gov/providers/provider-enrollment/new-providers/provider-enrollment-forms/
The Spring session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for April 9, 10, and 11, 2019. The meetings will be held in Rooms 490-492 at the Harry S. Truman Building in Jefferson City from 10:00 a.m. to 3:00 p.m. each day. Providers should plan to attend one day only (material is the same for each day and providers pick the day they wish to attend).
Our Adult Day Center, Residential Care Facility, and Assisted Living Facility providers are all welcome to attend, but it is not required and the content will focus on IHS and CDS.
Over 6,535 currently enrolled MO HealthNet providers are past due for revalidation and have not submitted an application to MMAC. If your NPI is past due and you do not submit your revalidation application within the next 30 days, your NPI will be referred to our Terminations Unit for deactivation. Deactivated providers will be required to re-enroll with Missouri Medicaid, which takes longer to complete than revalidation and may require additional documentation.
You can find a list of providers, along with their NPIs and revalidation due dates here: Provider Revalidation Status. This file is updated weekly. For real time information go to http://www.emomed.com/.
Please go to http://www.emomed.com/ to complete and submit the revalidation application along with any supporting documentation to avoid any interruption in payments. If you do not have an eMOMED account, please go to http://www.emomed.com/ and register for an account. The eMOMED help desk can be contacted at 573-635-3559 if you have any difficulties navigating the online application.
You may also direct revalidation questions to MMAC.Revalidation@dss.mo.gov or 573-751-5238.
Effective March 1, 2019, all CDS proposals submitted to MMAC must include proof that a representative of the company has attended a CDS Orientation training session.
Current CDS providers are also encouraged to attend the training, pending availability of seats. Priority will be given to providers who are preparing a new CDS proposal.
Details about the training sessions can be found at https://mmac.mo.gov/providers/hcbs-provider-certification-training/.
