Medicaid Messenger
Some thoughts for the starting school year
Audit Preparedness and Compliance
We were reminded this week of the document storage compliance rules from the Michigan Department of Health and Human Services (MDHHS) and are sharing the details of that communication here.
All Medicaid-reimbursed services, and all supporting documentation, including service notes, are subject to review to ensure all Medicaid billing requirements are being met for reimbursement. MDHHS conducts post-payment reviews to verify that services, providers, school service settings, and appropriate billing are following all of the rules and regulations for reimbursement.
As a partner with Wayne RESA in the Medicaid School Services Program, we are all responsible for following through with any request from authorized agents of the state or federal government. These requests could mean that we will need to provide all records, quality assurance documents, financial records, administrative records, as well as other documents and records that must be maintained in order to verify the County’s compliance with Medicaid reimbursement guidelines.
Providers must maintain, in English and in a legible manner, written or electronic records necessary to fully disclose and document services provided to students/beneficiaries. The records are to be kept for a period of not less than seven years from the date of service, regardless of a change in ownership or termination of participation in Medicaid for any reason.
- the Annual Notification,
- One-Time Consent and
- Medicaid Brochure.
The forms are available on the RESA web site, or by clicking the link below. Please print and provide the translated materials as needed for your district.