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
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.
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
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 Timberlake Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business April 11, 2024.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted March 22, 2024 or earlier, payment may continue for up to 30 days for services furnished after April 11, 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
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 Hidden Lake Care Center as a provider of services in the MO HealthNet (Medicaid) program, will be terminated at the close of business March 31, 2024.
To facilitate the orderly relocation of MO HealthNet beneficiaries, for residents admitted March 12, 2024 or earlier, payment may continue for up to 30 days for services furnished after March 31, 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
