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MO HealthNet Enrollment, Documentation Standards, Records Requests, and Annual Attestation

Sets out the MO HealthNet rules that apply to the Agency as an enrolled provider: keeping enrollment current (changes within 90 days, ownership or control within 30 days), the "adequate documentation" standard and contemporaneous documentation within five business days, producing records within ten business days of a request, keeping records at least six years from the date of service, the annual Deficit Reduction Act attestation by March 1, and the administrative actions MO HealthNet may take.

Preview: full text with a package
About this policy
Policy number
MO-HH-BUS-04
Version
1.0
Main rule
13 CSR 70-3.030
Library
Missouri home health · 57 policies
Category
Business
Sections
19

In short

  • Visit notes must be written at the time of the visit or within five business days; we aim for the next business day.
  • Never change an original note. A late addition must be dated and show who made it.
  • MO HealthNet records are kept at least six years from the date of service.
  • Records requested by MO HealthNet must be sent within ten business days.
  • Send any records request to the Administrator the day it arrives.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (13 CSR 70-3.030)
  • 5. Enrollment and Changes
  • 6. Adequate Documentation for MO HealthNet Services
  • 7. Contemporaneous Documentation and Late Entries
  • 8. Records Requests
  • 9. Record Retention
  • 10. Annual Attestation
  • 11. Correcting Deficiencies and Program Violations
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • How do you make sure visit notes are written at the time of the visit or within five business days?
  • If MMAC asked for records today, how would you produce them within ten business days?

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