Assisted Living Medicaid Services in OIG’s FY2020 Work Plan

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The Office of Inspector General (OIG) made this announcement on August 15, 2019:

“Medicaid may provide assisted living services to beneficiaries who are medically eligible for placement in a nursing home but opt for a less medically intensive, lower-cost setting. These services may include personal care (e.g., assistance with dressing and bathing), homemaker services (e.g., housecleaning and laundry), personal emergency response services, and therapy services (i.e., physical, speech, and occupational). A 2018 Government Accountability Office report indicated that improved Federal oversight of beneficiary health and welfare is needed in States’ administration of Medicaid assisted living services. We will determine whether assisted living providers are meeting quality-of-care requirements for Medicaid beneficiaries residing in assisted living facilities and whether the providers properly claimed Medicaid reimbursement for services in accordance with Federal and State requirements.”

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I blogged on this GAO report back in February 2018.  This OIG audit/study will be conducted within the October 1, 2019 and September 30, 2020 time frames.  Use the hyperlink in the opening statement of today’s blog to explore the OIG Work Plan website further as well as subscribe to the OIG newsletter.  Stay informed!