MMAC Participant Lock-In Unit Report
January 24th, 2014June 2022 Cost Avoidance: $610,136.92 Lock-In Summary: Biennial cases reviewed: 22 Six-month case follow-up reviews: 32 New Lock-In cases opened: 68 Watch cases opened: 36 No Abuse cases: 54 Approximate number of active cases: 1215 Definitions/Descriptions of Lock-In Terms: Biennial … Continued
Update to Physician Manual: Section 13.41.E
April 22nd, 2013In order to effectively treat chronic pain, physicians rely on drug testing to monitor prescribed medications and drugs of abuse. Urine Drug Screening tests which provide qualitative or semi-quantitative initial screen or preliminary results may not be reported with … Continued
Home and Community Based Services (HCBS) providers may choose to participate in the reassessment of participants of the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS) that they serve. This service only applies to personal … Continued
Providers’ Obligation to Screen Employees and Contractors for Excluded Persons The Centers for Medicare and Medicaid Services issued State Medicaid Director Letter #09-001 dated January 16, 2009 regarding excluded persons. The letter advises States of their obligation to direct providers … Continued
CMS hosting Provider Education Webinar/Conference Calls
April 13th, 2012The Centers for Medicare & Medicaid Services (CMS) is hosting six Payment Error Rate Measurement (PERM) program provider education webinar/conferences calls during PERM Cycle 1 (2012) of which Missouri is included. The purpose is to provide an opportunity for the … Continued
Provider Enrollment Applications and Forms
January 11th, 2012APRN – CPA Attestation Assistant Attestation form Assistant Physician CPA Attestation Attestation of Medical Records Loss or Destruction Authorization by Clinic/Members Form Business Organizational Structure form BOS Resource/Guide Electronic Funds Transfer (EFT) – Paper Hospice Nursing Facility Contacts Form Invasive … Continued
If you prefer not to print and scan paper documents the HCBS Change Request and common attachment forms are available with DocuSign. To receive our menu of DocuSign forms send an email to MMAC.DocuSign-NOREPLY@dss.mo.gov with “HCBS” in the subject line. … Continued
ADC Assurances AIDS Waiver Addendum Attestation of Medical Records Loss or Destruction Business Organizational Structure BOS Resource/Guide CDS Annual Service Report CDS Assurances CDS Quarterly Financial & Services Report CDS Service Area Commitment CDS Vendor Profile Change Request – HCBS … Continued
IHS and CDS Proposal Information
August 29th, 2011Home and Community Based Services (HCBS) programs are intended to provide necessary assistance in meeting the unmet needs of seniors and adults with disabilities and enable the individuals to remain in the least restrictive environment. HCBS consists of two separate … Continued
One of the most important roles a person can play in combating Medicaid fraud is to take the initiative to report fraud to mmac.reportfraud@dss.mo.gov. An individual reporting fraud may be entitled to reward under RSMo. 191.907. What Can I Do … Continued