The spring session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for April 19 and 20, 2023. DEADLINE TO REGISTER IS APRIL 18, 2023.
The meetings will be held virtually via Webex Webinar from 9:00 a.m. to 1:00 p.m. each day.
Providers will need to register and choose which day they will attend. More information can be found here: https://mmac.mo.gov/providers/hcbs-provider-certification-training/annual-provider-update-meeting/. If you are a designated manager for an in-home services provider, you are required to attend one of these sessions each year (April or October) in order to maintain your designated manager certification.
On August 26, 2020, the Missouri Department of Health and Senior Services (DHSS), Division of Senior and Disability Services (DSDS), issued Directive 3.25 (Appendix 1) for Consumer Directed Services (CDS) Tax Information Documentation Requirements. DSDS directed all CDS vendors to upload proof of the assignment of a Federal Employer Identification Number (FEIN) and a Missouri Tax Information Number (MO-TIN) for each CDS participant into the Home and Community Based Services (HCBS) Web Tool.
The DSDS Directive can be located here. HCBS Section 3.25, Appendix 1, with detailed information for CDS vendors on uploading the tax numbers can be located here.
CDS vendors who do not upload their participants’ federal and state employer tax ID numbers to the HCBS Web Tool within the timeframes specified in HCBS Section 3.25, Appendix 1, will be subject to administrative sanctions including, but not limited to, suspension of their Medicaid payments or participation in the CDS program.
Any questions should be directed to the DSDS Bureau of Long Term Services and Supports via email at LTSS@health.mo.gov
The fall session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for October 20 & 21, 2021.
DEADLINE TO REGISTER IS OCTOBER 19, 2021.
We have a full agenda planned and will be presenting information about the Structured Family Caregiving Waiver, DocuSign, Revalidations, COVID-19 Flexibilities, EVV, and MORE!
The meetings will be held virtually via WebEx Events Center from 9:00 a.m. to 1:00 p.m. each day. Providers will need to register and choose which day they will attend. More information can be found here: https://mmac.mo.gov/providers/hcbs-provider-certification-training/annual-provider-update-meeting/
If you are a designated manager for an in-home services provider, you are required to attend one of these sessions each year in order to maintain your designated manager certification
The fall session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for October 20 & 21, 2021. DEADLINE TO REGISTER IS OCTOBER 19, 2021.
The meetings will be held virtually via Webex Events Center from 9:00 a.m. to 1:00 p.m. each day. Providers will need to register and choose which day they will attend. More information can be found here:
https://mmac.mo.gov/providers/hcbs-provider-certification-training/annual-provider-update-meeting/
If you are a designated manager for an in-home services provider, you are required to attend one of these sessions each year in order to maintain your designated manager certification.
As a reminder, all Consumer Directed Service (CDS) providers are required to file quarterly and annual reports.
For your convenience, these reports may now be submitted to our new e-mail address or fax at:
EMAIL: MMAC.CDS@DSS.MO.GOV
FAX: 573-526-4375
Mailing address: 205 Jefferson Street, 2nd Floor, P.O. Box 6500, Jefferson City, MO 65012
The CDS Quarterly Financial & Service Report and CDS Annual Service Report have been updated and are posted on MMAC’s website at
Due date for CDS Quarterly Financial & Service Report is on a calendar year as follows:
January 1 through March 31, due by April 30th
April 1 through June 30, due by July 31st
July 1 through September 30, due by October 31st
October 1 through December 31, due by January 31st
The CDS Annual Service Report for January 1 through December 31 is due by January 31st of the following year.
Before submitting reports, please review for completeness and that the form has been signed (print the name and title of the person signing under the signature).
The Level of Care Transformation Project Web Page has been updated by the Department of Health and Senior Services (DHSS), Division of Senior and Disability Services (DSDS) and includes the Level of Care (LOC) Transformation Project – Draft LOC Algorithm Release Memo, as well as Level of Care (LOC) Presentations, Video Tutorial, and LOC Algorithm and the Survey.
The goal of the Level of Care Transformation Project is to review all aspects of the HCBS assessment process to ensure the right services are provided to the right individuals at the right time. DSDS is now asking HCBS providers and other stakeholders to assist in this effort.
Questions should be directed to the Bureau of Long Term Services and Supports at (573) 526-8557 or via e-mail at LOCTransformation@health.mo.gov
HB1350 was enacted into law as section 192.2495 RSMo effective August 28, 2018.
Providers are responsible for ensuring aides are registered with the Family Care Safety Registry (FCSR), that screenings are done at the time of hire and before any contact with a participant, and an application for a Good Cause (GCW) has been submitted, if applicable. It is also a good business practice to check the FCSR annually. Documentation of the FCSR screening and GCW, if applicable, must be maintained by the provider for five years and be readily available when requested by MMAC. One suggested way of documenting the decision is to make a note on the screening with the date and name of the person that reviewed the information.
Under section 192.2495, not every finding (hit) requires a GCW. For example, local ordinance violations, misdemeanor DWIs, and most other misdemeanors do not require a GCW. Even if the crime is not listed below and is considered a lesser crime, the provider may choose not to hire an applicant. Most court reports list the state statute that was violated under the headings “State Code” and “Statute Citation”. Comparing the state statute found on the report to the list below will help guide the provider in deciding if a GCW is required.
Per section 192.2495 RSMo, anyone who has been found guilty, plead guilty, or plead nolo contendere to any felony violations under the RSMo sections listed below must obtain a GCW.
568.045 Endangering the welfare of a child in the first degree 568.050 Endangering the welfare of a child in the second degree 568.060 Abuse or neglect of a child 568.175 Trafficking in children 570.025 Robbery in the second degree 570.023 Robbery in the first degree 570.030 Stealing 570.040 Stealing 3rd offense (prior to January 1, 2017) 570.090 Forgery 570.145 Financial exploitation of the elderly person or person with a disability 570.23 Identity theft 576.080 Supporting terrorism 577.010 Driving while intoxicated or 577.012 Driving with excessive blood alcohol content and who is alleged and found by the court to be an aggravated or chronic offender under section 577.023 (Felony DWI) Any felony offense under section 579 or (previously) Chapter 195 Any offense (including misdemeanors) requiring registration under section 589.400
Anyone who is listed on the department of mental health employee disqualification registry under section 630.170; or has a finding on the child abuse and neglect registry under sections 210.109 to 210.183 must also obtain a GCW.
Employee background screening requirements may vary slightly among different programs, and it is important for providers to conduct background screenings appropriately. The following regulation sections describe requirements for providers ensuring aides are registered with the Family Care Safety Registry (FCSR), that screenings are done at the time of hire, and when a Good Cause Waiver must be requested. Background screening requirements for in-home services aides are found at 19 CSR 15-7.021 (24) (A) 4 and 19 CSR 15-8.400 for CDS attendants. Also see section 192.2495 RSMo, Personal Care Manual, and Division of Senior and Disability Services Memo PN-18-17, VM-18-17 dated August 28, 2018.
Applicants desiring to contract with MO HealthNet for the purpose of providing In-Home Personal Care Services (IHS) or Consumer Directed Services (CDS) to Medicaid participants are required by 19 CSR 15-7.021(5) to submit a complete proposal packet to Missouri Medicaid Audit & Compliance (MMAC). Previously, applicants paid the Medicaid enrollment application fee at the time they submitted their proposal.
Effective Monday, October 15, 2018, applicants submitting IHS or CDS proposals will no longer be required to submit the enrollment application fee with their proposal packet; it will be submitted later after the proposal has been approved. MMAC will refund or return any application fees received with a new proposal packet after October 15th. Applicants who submitted their IHS or CDS proposal prior to October 15th and paid the enrollment will not have their enrollment application fee returned unless their proposal is rejected; it will be applied to their Medicaid application once their proposal has been approved.
The MMAC Contracts Unit will send the applicant an email acknowledging receipt of a proposal packet. The proposal will be evaluated for completeness and compliance with the program requirements for the type of contract being sought. Applicants should review the proposal requirements and program guidance available on MMAC’s website (IHS and CDS Proposal Information) and make sure they are submitting all required documents. Applicants also need to keep a copy all documents submitted as part of their proposal packet.
Incomplete or non-compliant proposals will be rejected by the MMAC Contracts staff. Applicants will receive a letter or email from MMAC identifying any parts of their proposal packet that do not meet program requirements. The rejected proposal will not be returned by MMAC. Applicants will be required to submit a new and complete IHS or CDS proposal packet to MMAC.
Once an IHS or CDS proposal packet has been accepted and approved by MMAC, the applicant will be asked to submit the required Medicaid provider enrollment forms and enrollment fee.
Questions regarding proposals or Medicaid enrollment for Home and Community Based Services should be sent to MMAC.IHSContracts@dss.mo.gov
The Missouri Medicaid Audit and Compliance (MMAC) unit conducts post-payment reviews (audits) of Medicaid-enrolled providers’ billing. As a service to our enrolled providers, MMAC wishes to remind providers of the requirements to file and pay taxes.
Consumer Directed Services (CDS) providers/vendors are required to pay taxes on behalf of the participant. You may find the requirements in the following areas:
Paragraph 5.25 of your company’s Participation Agreement for Home and Community Based Care to provide Consumer Directed Services requires you to “… perform all services under this Agreement in compliance with this Agreement and in compliance with all applicable state and federal statutes and all regulations lawfully promulgated.”19 CSR 15‐400(2) states “Vendors shall perform, directly or by contract, payroll and fringe benefit accounting functions for consumer, including but not limited to: (C) Ensuring all payroll, employment and other taxes are paid timely.”
The three main oversight entities who the provider will deal with are the Internal Revenue Service (IRS), Missouri Department of Revenue (DOR) and Division of Employment Security. Providers are also responsible for City taxes, if applicable.
The EIN number is not the property of the CDS provider but belongs to the participant. When a participant changes providers, the current provider should notify the IRS, DOR and Division of Employment Security that they are no longer serving the participant. When the provider receives a release from the new provider, they should supply the requested information. It’s MMAC’s expectation that providers work in a cooperative effort to make this a seamless process.
Documentation of paid taxes must be maintained by the provider for five (5) years in a secure location that is easily accessible so the documents may be produced for audit purposes.
Helpful websites:
IRS: https://www.irs.gov/filing
DOR: https://openforbiz.mo.gov/
Division of Employment Security: https://labor.mo.gov/des
IRS number the participant can call if they have lost or misplaced their EIN – 800-829-4933
The fall session of Missouri Medicaid Audit and Compliance’s (MMAC) Update Meetings for Home and Community Based providers is scheduled for October 23, 24, and 25, 2018. 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.
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