2ND ROUND TESTING – CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

April 24, 2024

2ND ROUND TESTING FOR THOSE WHO MISSED OR DIDN’T PASS THE FIRST ROUND, NEW CDS PROVIDERS MARCH 2024 – CONSUMER DIRECTED SERVICES (CDS) MANAGER REQUIREMENT – PER 19 CSR 15-8.400(1)D

PLEASE READ TO THE END

 

Per the updated CDS regulation (19 CSR 15-8.400(1)(D), all CDS providers are required to have a Certified CDS Manager.  Please see the original FROM THE DIRECTOR notification https://mmac.mo.gov/cds-manager-testing/  posted to the MMAC website on March 8, 2024.

 

For those who did not attend or pass the first round of testing or newly enrolled in March 2024:

Providers are sorted by NPI The ONE person who will be the CDS Manager will be allowed to sign up to take the test Registration links will be emailed to the providers – DO NOT share the link with anyone else

 

DO NOT register for more than one test or register more than one-person, additional registrations will be rejected. The schedule below is based on currently enrolled CDS providers as of March 2024 who did not make it through the first round of testing.  Mark your calendars for the dates based on your NPI.

 

NPI-first 4 digits               Test Date

1003 – 1487                      May 21, 2024

1497 – 1992                      May 23, 2024

 

Emails with the link to register will go out to those CDS providers not compliant or newly enrolled on Monday, April 29, 2024.  For those with scheduling conflicts – please reach out to MMAC to be added to one of the backup dates and to receive the link to register.

Backup Dates:                  May 29 & 30, 2024 – not NPI specific, first come, first serve

 

First round had some issues with registration and emails, please refer to the WebEx Instruction link for tips and tricks regarding registration and confirmation emails.  Registration Instructions: Instructions to Register and JOIN with WebEx for CDS Manager Testing

 

The virtual testing sessions will start at 9:00 am, please allow 4 hours (reason for testing, current trends, quick break, overview of how the test will look, open book material and 3 hours for the test).

 

Open Book Materials for test: https://mmac.mo.gov/providers/provider-enrollment/home-and-community-based-services/open-book-dm-testing-materials/

 

No GRANDFATHERING – ALL CDS providers MUST HAVE a Certified CDS MANAGER who has passed this test.  If you or one of your employees has attended the CDS Orientation or passed and/or is currently an In-Home Services Designated Manager – neither of these will apply nor be used for passing the Certified CDS Manager test.  ANY PAST TRAINING WILL NOT APPLY TO MEET THIS REQUIREMENT.

 

Questions regarding the CDS Manager Test can be sent to MMAC.IHSCONTRACTS@DSS.MO.GOV

HCBS PROVIDERS: AUDIT GUIDELINES

September 18, 2015

For home and community based providers, Missouri Medicaid Audit and Compliance (MMAC) wishes to provide the following audit guidelines. We hope this will assist you with preparation for an audit, and also help you properly retain adequate documentation and help you bill MO HealthNet properly, regardless of whether you are subject to an audit or not.

 

MMAC will notify you of an on-site audit prior to arrival, in most instances. Unannounced audits are rare. MMAC will accommodate your needs and schedule, within reason. We will generally provide you a partial list of participants and dates of services that are part of our review (audit.) This is so you can begin to prepare and pull records prior to our arrival. We will send this partial list to you by fax or email. We will provide the complete list upon arrival. MMAC generally needs a place for two auditors and their two laptop computers and scanners, in order to properly scan records.

 

The following items are typically the items MMAC will request and review:

The plan of care, or Web Tool print-out (or LTACS) for each participant being reviewed, within the review period Any and all documents that support services billed for each participant, for the dates of service within the review period. This may include timesheets, whether paper or EVV (telephony), or any other supporting documents Copies of the initial employee FCSR screenings, (for employees who are part of the review period) Copies of Good Cause Waiver requests and their outcomes (for employees who are part of the review period) Documentation to support billing for Authorized Nurse Visits MMAC may also request one complete participant file and one complete employee file while on-site

 

For Residential Care Facilities (RCFs):

MMAC may request service delivery logs, and/or any documents that show services provided MMAC may request census records, medication administration records, or nurse’s notes for the time period being reviewed MMAC may request evidence of employee background screening

 

As well, for quality assurance purposes, MMAC may request

Documentation for two employees or attendants which verifies initial and ongoing training requirements were met. This includes classroom training and on the job training. This also includes any training waivers and those supporting documents Verification of liability insurance and a dishonesty bond

 

For Consumer Directed Services (CDS) vendors:

A verification that the consumer was trained by the provider regarding recruiting, hiring, supervising the attendant, etc. A verification that the appropriate tax forms have been complete and are on file with the vendor

MEMORANDUM FOR HOME AND COMMUNITY BASED SERVICES PROVIDERS

August 8, 2013

The Missouri Medicaid Audit and Compliance Unit (“MMAC”) has scheduled provider update meetings for all Home and Community Based Services (HCBS) providers in October 2013.   HCBS providers include: In-Home Service (IHS) providers, Consumer Directed Services (CDS) vendors, Residential Care Facilities (RCF)/Assisted Living Facilities (ALF) and Adult Day Care (ADC). 

Three sessions are being offered to allow maximum participation.  HCBS providers need to attend only one session as the same agenda will be presented for each day.  Pre-registration is not required.  Meetings will be held at the Harry S. Truman Building, 301 West High St., Room 490/492, Jefferson City, MO 65101.  The dates are as follows:

 

Monday, October 7, 2013

             10:00 AM to 2:30 PM

Tuesday, October 8, 2013

              10:00 AM to 2:30 PM

Wednesday, October 9, 2013

              10:00 AM to 2:30 PM

 

Tentative topics to be presented include: 

Missouri Department of Health and Senior Services (DHSS) Reassessments Data Entry in the Web Tool

 

Missouri Medicaid Audit and Compliance Unit (MMAC) HCBS Updates and Changes         Enrollment Changes and Updates         Who to Ask for Guidance  Provider Review         Audit Responsibilitie         How to Prepare for an Audit        What is Audited?        Billing and Documentation Practices Investigations        Investigation Responsibilities        Program Violations vs. Law Violation        Administrative Actions        Sanctions That Exist for Violations Annual Application Process for IHS and CDS Providers        Required Documents        Timeline

 Additional information: 

The IHS provider is responsible for maintaining proof of attendance in the certified manager’s personnel file. Attendance at any one of the sessions listed above will fulfill the requirement in 19 CSR 15-7.021(14)(D).

 Any questions regarding this memorandum should be directed to MMAC – Provider Contracts via e-mail at mmac.ihscontracts@dss.mo.gov.