McKnight’s recently reported that the Government Accountability Office strongly urged the Centers for Medicare & Medicaid Services to respond to recommendations made in the GAO January 2018 report on assisted living. It has already been more than a year!
The GAO said it will continue to monitor actions taken by the Department of Health and Human Services in response to its recommendation, one of 404 “priority recommendations” — 54 of them at HHS — that were open as of April 7. The agency said it sent letters to the heads of the HHS, Veterans Affairs, and Defense departments “urging them to continue focusing on these issues.”
The 2018 report, “Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare is Needed” contained a to-do list for CMS including reporting of deficiencies in care and services provided to Medicaid beneficiaries in assisted living communities.
Investigators recommended that CMS Administrator Seema Verma:
- Provide guidance and clarify requirements for states regarding their monitoring and reporting of deficiencies in assisted living communities.
- Establish standard Medicaid reporting requirements that all states could use to annually report information on critical incidents.
- Ensure that all states submit annual reports for home- and community-based services waivers on time, as required.
These all seem reasonable and CMS has somewhat addressed #1 and 2.