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