Each month, we are pleased to share the most recent additions to the Office of Inspector General (OIG) Work Plan items. As of June 2017, OIG updates their Work Plan monthly with any new changes to the active list. Let’s take a look at the new points of emphasis for compliance professionals moving forward.

A few topics that stood out to us for September’s OIG Work Plan are the following:

  1. HHS Incident Response Capability
  2. Availability of Behavioral Health Services in Medicaid Managed Care
  3. Child Care and Development Fund: State Criminal Background Check Requirements
  4. Federal Marketplace Enrollment Systems
  5. Medicaid Nursing Home Life Safety Reviews

Find the full list of Recently Added Items on OIG’s site. Curious where to find last month’s added items? Take a look at the August OIG Work Plan Updates.

Let’s walk through some of these updates so you can address each item within your compliance program.

HHS Incident Response Capability

The Federal Information Security Management Act (FISMA) was signed into law in 2002 as a part of the Electronic Government Act. This law helps protect various agencies from cyber threats and requires annual reviews of federal security programs where sensitive information could be at risk. 

In this update, OIG will determine if HHS has implemented an effective plan in case a cybersecurity breach takes place.

Read the full update here.

Federal Marketplace Enrollment Systems

Many questions remain about the Federal Marketplace going forward. What will it look like moving forward? How will it be promoted? What kind of improvements will be made?

OIG is considering a few key factors concerning operations including IT security for the enrollment period, operational readiness, internal controls, and more.

Read more about the Federal Marketplace here.

Child Care and Development Fund: State Criminal Background Check Requirements

Many families across the country rely on subsidies to help with child healthcare costs. The Child Care and Development Fund is the primary resource that provides for these expenses. The Child Care and Development Block Grant Act of 2014 requires a criminal background check for all eligible childcare providers.

OIG is working to ensure that each state is meeting this requirement by tracking their progress and identifying areas of improvement for best practice.

Read more about child care health services here.

Medicaid Nursing Home Life Safety Reviews

Given that many nursing home residents require additional support during most emergency situations, OIG is placing a high priority on ensuring safety in all circumstances given the recent CMS changes in its healthcare facilities’ life safety and emergency preparedness requirements.

OIG will be evaluating if LTC facilities adequately complied with these new Federal requirements during the period of May 4, 2016, through November 15, 2017.

Find out more about recent CMS changes and standards here.

Do you have any recent experience or background information concerning OIG’s Work Plan updates for September? Let us know in the comments below!


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Written by Michael Rosen, ESQ

ProviderTrust Co-Founder, mrosen@providertrust.com

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.

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