OIG Report Finds Eleven States Improperly Restricted Medicaid Home Health Eligibility
Tuesday, July 30, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On July 1, the Department of Health and Human Services Office of Inspector General (OIG) released a report evaluating the extent to which states improperly restrict eligibility for Medicaid home health services.  While Medicare requires homebound status, Medicaid does not.  VNAA has regularly lobbied the Centers for Medicare and Medicaid Services (CMS) to clarify this distinction with state Medicaid directors. 

The report found that eleven states had improperly included a requirement that the patient be homebound. Federal regulations also forbid states from denying or reducing the amount, duration and scope of services based on a patients diagnosis, illness or condition.

The OIG made no formal recommendations in this report to CMS. To read the full report please click here.
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