Each month, we are pleased to share the most recent additions to the HHS Office of Inspector General (OIG) Work Plan items. Starting in June 2017 – OIG has been updating their Work Plan monthly with any new changes to the active list. Let’s take a look at the new points from this month. December’s agenda includes just two new items from HHS Office of Inspector General (OIG). Let’s walk through these updates so you can address each item within your compliance program, if applicable.
- T-MSIS Data Assessment: Usefulness of National Data to Monitor Opioid Prescribing in Medicaid
- States’ Compliance with FFS and MCO Provider Enrollment Requirements
T-MSIS Data Assessment: Usefulness of National Data to Monitor Opioid Prescribing in Medicaid
This year certainly has been eye-opening as it relates to the data and painful facts surrounding the opioid epidemic in America. As HHS OIG continues to combat this issue, they are requiring help from many state and federal agencies to help gather more information.
A database in which HHS OIG will be evaluating for accurate and informative data to help manage this critical issue is the Transformed Medicaid Statistical Information System (T-MSIS). In order to identify and prevent opioid misuse for beneficiaries, HHS OIG will also be interviewing states to learn more about the challenges they face.
Read the full update from OIG here.
States’ Compliance with FFS and MCO Provider Enrollment Requirements
The 21st Century Cures Act (Cures Act) requires each state to provide enrollment data for each provider participating in Medicaid programs including Fee-for-Service (FFS) and Managed Care Organizations (MCOs).
HHS OIG will be surveying state Medicaid agencies about enrollment screening activities and how to protect the integrity of Medicaid from abusive and fraudulent providers.
Find out more information here.
Do you have any recent experience or information concerning OIG’s Work Plan updates for December?
Maybe there’s a question you are urgent to ask for more insight. Let us know in the comments below!
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Written by Michael Rosen, ESQ
Michael brings over 20 years of experience founding and leading risk mitigation businesses, receiving numerous accolades such as Inc. Magazine’s Inc. 500 Award and Nashville Chamber of Commerce Small Business of the Year.