Industry Note:
New State Audit Report Implies Upcoding In Eligibility Scoring
Published on Fri Jan 11, 2019
Missouri lawmakers are planning to make changes to the eligibility criteria for Medicaid home care services, after previous changes failed to produce the cuts they had estimated. Background: The legislature raised the threshold for eligibility from a “level of care” score of 21 to 24. It estimated the state would save $43 million due to the change in 2018, but [...]