Home and Community Based Settings (HCBS) Rules Auditing
Applicable To: Mercy Care Long Term Care
A Provider Notification was sent on January 20, 2020 regarding the CMS required Home and Community-Based Settings (HCBS) Rules. Due to the COVID-19 Pandemic, the compliance date has been moved to March 2023. However, per AHCCCS and CMS requirements, auditing began July 2021 to ensure all contracted facilities can achieve compliance with this rule. As the new HCBS rules pose a significant change in operational policies and procedures, Mercy Care is requesting that that all facilities view the HCBS Provider Training provided by AHCCCS.
Please focus your attention to the Assisted Living Facilities video under HCBS Rules Implementation in a COVID-19 World – Live Interactive Training. The due date for this is within 45 days. After this has been completed please send an attestation to your assigned provider liaison.
In order to complete an attestation for completion of this training, all you need to do is e-mail your Network Management Representative to let them know the training has been completed. Our Network Management Assignment List is available at the bottom of our For Providers web page. For quick access, please click on the link. Our Network Management Department will be tracking training completion.
As the audit date for your facility approaches, a 30 day advance letter will be sent to help you prepare. It is important that you complete the provider readiness assessment prior to the auditor arriving to your home. When preparing for and completing the audit, it is important to understand the threshold for compliance with Mercy Care is 100% in all HCBS Rule areas.
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