32 Miss. Code. R. 1.10

Current through December 10, 2024
Section 32-1.10 - MEASURES FOR DETECTING AND PREVENTING WASTE, FRAUD AND ABUSE

The following procedures are used to detect and prevent waste, fraud and abuse:

* The Case Management Verification Report is used to verify that monthly contacts, quarterly review visits and recertification visits are completed each month. The report further is used to check time logs received for the month against the number of hours the personal care attendant is approved for;

* For clients who are eligible for Medicare or Medicaid and have any other third party resources, the OSDP Counselor must explore all available benefits. The OSDP Counselor must document any available benefits in the case file. All comparable benefits and third party resources are explored and utilized prior to authorizing for client services;

* The MDRS Program Evaluation Division conducts case file audits; and,

* The Assistive Technology Delivery Receipt is signed by the client to verify recommended equipment is received as ordered. The original form is maintained in the case file.

32 Miss. Code. R. 1.10