tci Medicare Compliance & Reimbursement - 2003 Issue 29

Home Health: HHAs Prepare For A Waiver Crackdown

Waiver providers should expect more audits and fraud charges. The trend of more regulatory enforcement in Medicaid is about to reach home care, and the results may have providers leaving waiver programs in droves. Seventy percent of the Medicaid waivers for the elderly the General Accounting Office recently reviewed "documented one or more quality-of-care problems," the GAO says in a new report, "Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened" (GAO-03-576). The Centers for Medicare & Medicaid Services "does not adequately monitor" the rapidly growing state waivers, or "the quality of beneficiary care,"...

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