The Office of the Medicaid Inspector General has posted its latest Compliance Alert (#8) on the OMIG Web site entitled, “Home Health Care Provider Self-Assessment Pre-Claim Review Process.”

This alert is in regards to the changes made on March 31, 2011, Social Services Law Section 24 and Section 363-e5 were amended to require use of a verification organization to conduct pre-claim reviews of Medicaid services and items and to provide exception and conflict report data6 for the following providers with total Medicaid reimbursements exceeding $15 million per calendar year:7 certified home health agencies (CHHAs); long term home health care programs (LTHHCPs); and personal care providers.

Here is a link for the entire alert. http://www.omig.ny.gov/data/images/stories/compliance_alerts/compliance_alert%202011_08_home_health_verification.pdf