If you have a family member who receives services through the Developmental Service System of Area Agencies you may have you heard about the Corrective Action Plan (CAP) that NH is under, related to the Home and Community Based Services (HCBS) Waivers through the Centers for Medicare and Medicaid (CMS). The three 1915 (c) waivers affected by this CAP are Developmental Services, Acquired Brain Disorder, and Children’s In-Home Services.
The compliance issues addressed in the CAP focus on conflict of interest between case management and direct service delivery; and compliance with Medicaid billing rules, which allow providers to bill directly to the State.The HCBS Waiver is an essential component for the delivery of community-based services to individuals with disabilities and their families.Without it, the state would not be able to provide these critical services. Half of the funds provided through the HCBS Waiver are state dollars, with an equal match in federal funds.
Here is the “Conflict of Interest Frequently Asked Questions” newly released from the Department of Health and Human Services, Division of Long Term Supports and Services, Bureau of Developmental Services. Click here for the Spanish version.