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The Office of the Investigator General (OIG) released Oversight of Quality of Care in Medicaid Home and Community Based Services (HCBS) Waiver Programs (OEI-02-08-00170).
To operate their HCBS waiver programs, states must meet 3 assurances. States must demonstrate that they have systems to effectively monitor
Seven of the 25 states that the OIG reviewed did not have adequate systems to ensure the quality of care provided to beneficiaries, even though CMS had renewed the waiver programs in all 7 of these states.
Three states did not adequately correct identified problems.
The OIG recommend that CMS:
CMS agreed with 4 of the recommendations and partially concurred with the OIG’s recommendation to require onsite visits.