CMS Changes 1915 Waiver Quality Reporting Measures To Strengthen Oversight Of Beneficiary Health & Welfare

On March 12, 2014, the federal Centers for Medicare & Medicaid Services (CMS) modified its quality reporting measures for Medicaid 1915(c) home and community-based service (HCBS) waivers to strengthen oversight of beneficiary health and welfare. In key reporting changes, CMS will require states to implement quality improvement projects or remediation if the threshold of compliance with a waiver performance measure is at or below 85%. However, states will no longer be required to report on individual remediation except in substantiated instances of abuse, neglect or exploitation. CMS will also require that states provide evidence that reimbursement rates for . . .