Consumer-Directed Services (CDS) Vendors who are enrolled with Missouri Medicaid (MO HealthNet) are required to provide certain reports. These reports are submitted either quarterly or annually to Missouri Medicaid Audit and Compliance (MMAC). Currently, Missouri statutes and regulations outline the basic requirements of the reports. MMAC has been actively working to redesign the reports to make them more user-friendly.
The current requirements are:
(1) Demonstrate sound fiscal management as evidenced on accurate quarterly financial reports and accurate quarterly service reports
a. Quarterly financial reports shall be submitted 30 days after the end of each calendar quarter
b. Quarterly service reports shall also be submitted 30 days after the end of each calendar quarter
(2) Demonstrate a positive impact on consumer outcomes regarding the provision of personal care assistance services as evidenced on an accurate annual service report and demonstrate sound fiscal management as evidenced on an annual audit
a. Vendors must submit the annual audit, conducted by a properly licensed independent practitioner (a certified public accountant licensed in Missouri), within 150 days of the end of the vendor’s fiscal year
You may view the State’s CDS regulation here, and the State’s CDS statute here.
MMAC has redesigned the quarterly financial report and quarterly service report. They are now one complete package, so CDS vendors do not have to submit two separate packages to MMAC. Click here to view or download the quarterly reports.
MMAC has also redesigned the annual service report to a more functional format. You may submit your annual service report along with your first quarter reports for the coming year, in order to avoid multiple mailings, scans, or faxes. Click here to view or download the annual service report.
CDS Vendors have also requested additional guidance regarding the annual audit. MMAC is working to complete this guidance and will post the completed guidance to its website in early 2016. We will also provide a link to the guidance via the gov.delivery e-mail alert system.
Please contact MMAC at MMAC.IHSContracts@dss.mo.gov if you have any questions.