OIG Work Plan Updates For April 2022

It’s time to go over the OIG Work Plan updates for this month, April 2022. They’ve added items that might impact your organization so let’s dive right in.

Over a decade ago, the OIG performed audits of select states’ Medicaid coverage of rehabilitation services provided to recipients residing in community residences such as group homes and apartments. The 21st Century Cures Act requires states to implement Electronic Visit Verification (EVV) for all Medicaid personal care services (PCS) and home health services (HHCS) that require an in-home visit by a provider. This OIG work plan item is designed so the OIG can determine whether the state has implemented an EVV system in compliance with Federal and State requirements.

Deaths from opioid overdoses surged to unprecedented levels during the COVID-19 pandemic. According to the OIG, as of April 2021, 75,000 people died from opioid overdoses in the preceding 12 months, a 35-percent increase from the previous year. Healthcare providers can assist with treating those abusing opioids through medications for opioid use disorders or MOUD. Through this work plan item, the OIG plans to study the extent to which beneficiaries diagnosed with OUD receive MOUD in Medicaid.

People with HIV can improve their health and prevent HIV transmissions by receiving recommended HIV care. OIG plans to study how Medicaid beneficiaries diagnosed with HIV receive care that aligns with the widely used Federal performance measures, both overall and by selected demographic factors that include race/ethnicity, sex, and location.

Download “A Brief Summary of the OIG Work Plan Updates For April 2022” to see what changes you might need to make within your organization. This OIG Work Plan update includes:

• Gaps in HIV Care
• Medicaid Rehabilitation Services Made by Community Residence Providers
• Use of Medications for Opioid Use Disorder (MOUD) in Medicaid
• And much, much, more!