NEW PROPOSAL PROCESS FOR IN-HOME SERVICES AND CONSUMER DIRECTED SERVICES PROVIDERS

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 15^th 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