Missouri Medicaid Audit and Compliance (MMAC) wishes to remind providers of Consumer Directed Services (CDS) that case management activities are a program requirement per Missouri regulation.
19 CSR 15-8 states that it is a program requirement to do the following: “Performing case management activities with the consumer at least monthly to provide ongoing monitoring of the provision of services in the plan of care and other services as needed to live independently.”
CDS providers with questions are encouraged to contact MMAC at MMAC.ProviderReview@dss.mo.gov
Missouri Medicaid Audit and Compliance (MMAC) has received questions from providers regarding signature requirements as they pertain to personal care services in a Residential Care Facility (RCF).
Missouri regulation states a signature is required as follows: “For each date of service: the signature of the recipient, or the mark of the recipient witnessed by at least one (1) person, or the signature of another responsible person present in the recipient’s home or licensed Residential Care Facility I or II at the time of service. “Responsible person” may include the personal care aide’s supervisor, if the supervisor is present in the home at the time of service delivery. The personal care aide may only sign on behalf of the recipient when the recipient is unable to sign and there is no other responsible person present. (See 13 CSR 70-91,010(4)(A)2.F).
Providers with questions are encouraged to contact MMAC at MMAC.ProvderReview@dss.mo.gov
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