Entries by mitcagencies

Fair Scheduling Trend Could Spell Trouble for Providers

In recent months and years, retention and rising payroll costs have been a major concern for providers. However, fair scheduling legislation is gaining steam in cities and states across the country, and could soon be an equal issue — potentially making matters more complex. Fair scheduling legislation varies across the country, but generally, the rules mandate […]

Pennsylvania EVV Update

DHS recently published some more, but limited, information on EVV. Which programs are impacted? Providers serving participants in the OBRA waiver or Act 150 program must adhere to all timelines and guidance issued by DHS in order to comply with EVV requirements in the fee-for-service system.  Few details available The Department of Human Services (DHS) […]

Seven Ways to Drive Better Outcomes in Residential Group Home Settings

Residential services are broad, encompassing all aspects of life. Providers of residential services are expected to assist individuals with: Activities of daily living Positive interactions and relationships Practices that promote health and wellness Management of medical care Mental health and emotional wellness Direction of services and supports Decision-making Financial stability Communication Transportation options Personal interests […]

Provider Loses $920,004 in Timesheet Fraud, 41 Employees Arrested

In January 2019, 41 individuals were charged in a nearly $1 million overtime kickback scheme that carried on for 21 months before external accountants spotted a potential massive payroll leak. Four supervisors were detained in prison on bail.  The supervisors manually altered timesheets to inflate hours at group homes that were not worked, resulting in overtime […]

CMS Confirms EVV is Subject to HIPAA

In a July 2018 letter to ANCOR, CMS (Centers for Medicare & Medicaid Services) confirmed EVV systems “are subject to HIPAA privacy and security protections”. HIPAA compliance will impact the range of EVV systems available to providers to choose from. As not all vendors will permit PHI (Protected Health Information) to be stored at their data […]

EVV Officially Delayed

The 21st Century Cures Act of 2016 had initially carried an implementation deadline of January 1, 2019 on EVV requirements. On Monday, July 30, 2018, the President Trump signed H.R. 6042 into law, which delays for one year the reduction of Federal medical assistance percentage for Medicaid personal visits furnished without an electronic visit verification […]