Do these items impact your organization?
The OIG (Office of Inspector General) has updated its work plan for June. If any of these items impact your organization, get a jumpstart, and adjust your compliance program before your organization is targeted for noncompliance. What are they focusing on right now? Mental health services have not always had equal coverage and access to other medical services. The OIG intends to audit CMS’s oversight of states’ compliance with Federal parity requirements, including whether states and their MCOs (Managed Care Organizations) conducted the required parity analyses and whether states ensured that their MCOs complied with specific parity requirements for MH/SUD benefits.
Additionally, there are health disparities relating to pregnancy. The OIG plans to conduct a study to identify strategies to increase access overall and reduce disparities in access to maternal healthcare for Medicaid beneficiaries enrolled in managed care. Unsurprising to any compliance professional, hospital cost reports have been scrutinized for years. Most compliance programs include these activities as a significant area of potential risk because the financial implications of finalizing cost reports incorrectly can be considerable. The OIG continues to look at various aspects of hospital costs.
Want the full scoop? Download A Brief Summary of The OIG Work Plan Updates for June 2022: Mental Health Inequality, Pregnancy Disparities, and Cost Reports. Featured items include:
- Indian Health Service sanitation program
- Mental health services
- Medicaid and maternal health
- MACs and cost reports