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Public Notice

November 8th, 2024

Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Festus Manor as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business November 23, 2024.

 

To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted August 6, 2024, or earlier, payment may continue for up to 30 days for services furnished after November 23, 2024.

 

   

Todd Richardson, Director

MO HealthNet Division

Department of Social Services

 

  

Tracy Niekamp, Administrator

Section for Long-Term Care Regulation

Department of Health and Senior Services

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ELECTRONIC SIGNATURE REQUIREMENTS

November 8th, 2024

All forms submitted to MMAC must have an original handwritten signature or a verifiable electronic signature using an electronic signature software such as; DocuSign,Adobe Sign, DropBox Sign.Some of these software offer free limited accounts.

If in the course of reviewing your documents an unverifiable or altered form utilizing electronic signature is found or suspected, providers will be required to either submit the original documents showing the authentication trail meeting the requirements below or produce new forms with valid handwritten signatures.

All Medicaid providers using electronic signatures must meet the following requirements:

• Implement a reliable method of verifying the identity of the signing party. To ensure the validity of the electronic signature, the provider must produce the digital certificate or any other tracking trail document showing the authenticity of the signature. The certificate should include but not limited to: Signing E-mail address, time stamp, IP addresses.

 

• Retain the certified and unaltered original documents and the Certificate of Completion for a minimum of five (5) years. The electronic document and signature should be kept secure to preserve its integrity by preventing unauthorized changes and maintaining the completeness of the agreement. DocuSign, Adobe Sign, and Dropbox Sign files are subject to the document retention requirements outlined in the provider’s Title XIX Participation Agreement, 13 CSR 70-3.030(3)(A)(4), and the appropriate MO HealthNet Provider Manual.

 

For questions, contact MMAC.

 

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HCBS Settings Final Rule 2024 Training Sessions

October 15th, 2024

This training is MANDATORY for Adult Day Cares, Doorways or Pathways to maintain enrollment (MO HealthNet) and license (DHSS).  MMAC will not accept attestations this year from providers who fail to attend.  At least one person from each enrolled Adult Day Care, Doorways or Pathways must attend.

 

Sessions will be held virtually via WebEx.  We will start at 9:00 am and should last 90 minutes.  You only need to attend ONE of the dates below to meet the requirement.

 

Registration Links:

Nov 6, 2024: HCBS Settings Final Rule Nov 6 2024, Training Session

 

Nov 21, 2024: HCBS Settings Final Rule Nov 21 2024, Training Session

 

This year is the third year, and it bears repeating, MMAC will not allow for attestations because providers couldn’t/wouldn’t/didn’t attend.  This is a CMS (federal government) requirement to maintain your funding.  Failure to have someone (owner or someone associated with your agency) attend either of these MANDATORY trainings will result in sanctions from MMAC.

Once someone has attended the session, the agency will then be required to submit their annual HCBS Settings Self-Assessment and HCBS Assurances forms.  For tracking purposes, please do not submit these forms until after the training session.  Forms are available on the MMAC website and I will also go over where you can find them during the training sessions.

Questions, please contact MMAC Contracts Unit as mmac.hcbssettings@dss.mo.gov

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MO HealthNet Providers: Call Us For FREE!

October 8th, 2024

The Mo HealthNet Provider Communications Unit assists providers with eligibility and coverage verification, enrollment status, annual review dates, questions regarding proper claim filing, claims resolution and disposition, billing errors, verifying check amounts, and more.

Providers are encouraged to communicate with Provider Communications using the Provider Communications Management tool in eMOMED. Providers may also call the Interactive Voice Response (IVR) system at (573) 751-2896.
Beginning today, providers can also call Provider Communications TOLL FREE at (833) 222-7916.  The caller must have the provider’s National Provider Identifier (NPI). The IVR system allows a MO HealthNet provider six options:

  • Press 1 for MO HealthNet Participant Eligibility
  • Press 2 for Check Amount Information
  • Press 3 for Claim Information
  • Press 4 for Provider Enrollment Status
  • Press 5 for MO HealthNet Participant Annual Review Dates
  • Press 6 to Speak to a Representative for Other Issues

For more information on the IVR system, review Section 3.3 of the General Sections Manual. For questions, contact MHD.Education@dss.mo.gov.

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FALL 2024 UPDATE MEETINGS FOR HOME AND COMMUNITY BASED PROVIDERS

September 23rd, 2024

The registration links for the October 23 & 24, 2024 HCBS Provider Update Meetings have been added to the MMAC website – Update Meeting webpage Provider Update Meetings.

 

If you are a Designated Manager (DM) for an in-home or a certified CDS Manager for consumer directed services provider, you are required to attend one of these sessions each year in order to maintain your certification.  The registration form has been updated due to MMAC having over 20,000+ DMs and 1000+ CDS Managers.  Please indicate on the form if you are DM or CDS Manager and the last four digits of SSN to make sure credit of attendance is indicated to the correct person.

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4TH ROUND TESTING FOR THOSE WHO MISSED OR DIDN’T PASS THE FIRST AND SECOND ROUNDS, NEW CDS PROVIDERS – CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

August 12th, 2024

4TH ROUND TESTING FOR THOSE WHO MISSED OR DIDN’T PASS THE FIRST AND SECOND ROUNDS, NEW CDS PROVIDERS APRIL/MAY – CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

PLEASE READ TO THE END

Per the updated CDS regulation (19 CSR 15-8.400(1)(D), all CDS providers are required to have a Certified CDS Manager.  Please see the original FROM THE DIRECTOR notification https://mmac.mo.gov/cds-manager-testing/  posted to the MMAC website on March 8, 2024.

No GRANDFATHERING – ALL CDS providers MUST HAVE a Certified CDS MANAGER who has passed this test.  If you or one of your employees has attended the CDS Orientation or passed and/or is currently an In-Home Services Designated Manager – neither of these will apply nor be used for passing the Certified CDS Manager test. ANY PAST TRAININGS WILL NOT APPLY TO MEET THIS REQUIREMENT.

 

For those who did not attend or pass the first three rounds of testing, newly enrolled or pending:

  • The ONE person who will be the CDS Manager will be allowed to sign up to take the test
  • Register for ONLY ONE of the test dates below that best fits their schedule
  • Registration links will be emailed to the providers – DO NOT share the link with anyone else

 

DO NOT register for all three dates or register more than one person, please mark your calendars.

 

Test Dates

Thursday, August 22, 2024

Wednesday, August 28, 2024

Tuesday, September 3, 2024

Thursday, September 12, 2024

 

Emails with the link to register will go out to those CDS providers not compliant, newly enrolled or pending, Thursday August 15, 2024.  The email will be sent to the business email on file with MMAC/MO HealthNet.

 

First three rounds had some issues with registration and emails, please refer to the WebEx Instruction link for tips and tricks regarding registration and confirmation emails.  Registration Instructions: https://mmac.mo.gov/wp-content/uploads/sites/11/2024/01/CDS-Webinar-Instructions.pdf

 

The virtual testing sessions will start at 9:00 am, please allow 4 hours (1 hour presentation – reason for testing, current trends, quick break, overview of how the test will look, open book material and 3 hours for the test).

 

Open Book Materials for test: https://mmac.mo.gov/providers/provider-enrollment/home-and-community-based-services/open-book-dm-testing-materials/

 

Questions regarding the CDS Manager Test can be sent to MMAC.IHSCONTRACTS@DSS.MO.GOV

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PUBLIC NOTICE

July 8th, 2024

Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Senath South Health Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business July 25, 2024.

 

To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted April 24, 2024, or earlier, payment may continue for up to 30 days for services furnished after July 25, 2024.

 

Todd Richardson, Director

MO HealthNet Division

Department of Social Services

 

Tracy Niekamp, Administrator

Section for Long-Term Care Regulation

Department of Health and Senior Services

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PERM

June 18th, 2024

The Centers for Medicare & Medicaid Services (CMS), in partnership with the States, is measuring improper payments in the Medicaid and Children’s Health Insurance Program (CHIP) programs under their Payment Error Rate Measurement (PERM) process.

CMS and its PERM contractor, Empower AI, have begun sending medical records requests effective June 6, 2024. These requests will be sent directly to Missouri Medicaid/CHIP providers for claims billed during state fiscal year 2024. Empower AI will also be contacting providers directly to obtain contact information to ensure that the medical records request is sent to the correct contact/location. Please be sure to comply with any contact information requests and medical record requests. Additional information about the PERM program is addressed on the CMS PERM website (https://www.cms.gov/PERM). Refer to the “Providers” link on the website.

Federal regulations require that Medicaid/CHIP providers submit the medical record documentation to support claims for Medicaid/CHIP services to CMS upon request. Providing medical records for Medicaid/CHIP patients does not violate the Health Insurance Portability and Accountability Act (HIPAA). Patient authorization is not required to respond to this request. CMS and its contractors will comply with the Privacy Act federal regulations governing the sharing and transmission of Protected Health Information (PHI).

Questions regarding the PERM audit may also be directed to the State PERM representative Joyce Chandler at 573-751-7993 or please email MMAC.PERMAUDITS@DSS.MO.GOV.

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3RD ROUND TESTING FOR CERTIFIED CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

June 6th, 2024

3RD ROUND TESTING FOR THOSE WHO MISSIED OR DIDN’T PASS THE FIRST AND SECOND ROUNDS, NEW CDS PROVIDERS APRIL/MAY – CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

PLEASE READ TO THE END

Per the updated CDS regulation (19 CSR 15-8.400(1)(D), all CDS providers are required to have a Certified CDS Manager.  Please see the original FROM THE DIRECTOR notification https://mmac.mo.gov/cds-manager-testing/  posted to the MMAC website on March 8, 2024.

 

No GRANDFATHERING – ALL CDS providers MUST HAVE a Certified CDS MANAGER who has passed this test.  If you or one of your employees has attended the CDS Orientation or passed and/or is currently an In-Home Services Designated Manager – neither of these will apply nor be used for passing the Certified CDS Manager test. ANY PAST TRAININS WILL NOT APPLY TO MEET THIS REQUIREMENT.

 

For those who did not attend or pass the first or second round of testing or newly enrolled April/May 2024:

  • The ONE person who will be the CDS Manager will be allowed to sign up to take the test
  • Register for ONLY ONE of the test dates below that best fits your schedule
  • Registration links will be emailed to the providers – DO NOT share the link with anyone else

 

DO NOT register for all three dates or register more than one person, additional registrations will be rejected. The schedule below is based on currently enrolled CDS providers as of March 2024 who did not make it through the first round of testing.  Mark your calendars for the dates based on your NPI.

 

Test Dates

Tuesday, June 25, 2024

Wednesday, June 26, 2024

Thursday, June 27, 2024

 

Emails with the link to register will go out to those CDS providers not compliant or newly enrolled on Monday, June 10, 2024.  An email with the registration link will be sent to the business email on file with MMAC/MO HealthNet the week before the scheduled test date

 

First and second rounds had some issues with registration and emails, please refer to the WebEx Instruction link for tips and tricks regarding registration and confirmation emails.  Registration Instructions: https://mmac.mo.gov/wp-content/uploads/sites/11/2024/01/CDS-Webinar-Instructions.pdf

 

The virtual testing sessions will start at 9:00 am, please allow 4 hours (1 hour presentation – reason for testing, current trends, quick break, overview of how the test will look, open book material and 3 hours for the test).

 

Open Book Materials for test: https://mmac.mo.gov/providers/provider-enrollment/home-and-community-based-services/open-book-dm-testing-materials/

 

Questions regarding the CDS Manager Test can be sent to MMAC.IHSCONTRACTS@DSS.MO.GOV

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Public Notice

May 14th, 2024

Based on the actions of the Centers for Medicare and Medicaid Services, notice is hereby given that the agreement between the Missouri Department of Social Services and Levering Regional Health Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business May 28, 2024.

 

To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted April 5, 2024, or earlier, payment may continue for up to 30 days for services furnished after May 28, 2024.

  

Todd Richardson, Director

MO HealthNet Division

Department of Social Services

 

Tracy Niekamp, Administrator

Section for Long-Term Care Regulation

Department of Health and Senior Services

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Contact Information

    Missouri Medicaid Audit and Compliance
    PO Box 6500, Jefferson City, MO 65102-6500
    Phone: 573 751-3399
    Toll Free Phone: 833 818-1183
    Contact Us Form