Tips to Improve Medicare-Medicaid Integration Using D-SNPs: Using Medicare Program Audit Reports to Improve Managed Care Organization Oversight
ICRC Tip Sheet
Publisher: Washington, DC: Integrated Care Resource Center
Jun 30, 2018
- Medicare program audits may reveal authorization, appeal, and grievance issues, inadequate compliance program mechanisms, and care coordination issues that impact Medicaid benefits.
- States can find audit summary information for Medicare Part C and Part D sponsors from prior year audits on the CMS Medicare program audit results website.
- States can use their contracts with D-SNPs or contact MMCO to obtain full Medicare program audit reports.
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