Mississippi Personal Care Services Focused Program Integrity Review Final Report March 2018

Mississippi Personal Care Services Focused Program Integrity Review Final Report March 2018

The Centers for Medicare & Medicaid Services (CMS) conducted a focused review of the Mississippi Medicaid personal care services (PCS). The objective of the review was to assess the level of program integrity oversight of Medicaid PCS at the state level. A secondary objective of the review was to provide the state with useful feedback, discussions and technical assistance resources that may be used to advance the program integrity in the delivery of these services. Ascertaining that billed services are provided safeguards against improper payments to providers, and protects the health and welfare of beneficiaries by ensuring that they receive essential non-medical services instrumental to improving the quality of their daily living activities. It is the responsibility of all parties involved in providing, authorizing, supervising, and furnishing PCS to protect and preserve Medicaid program integrity.

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