Fall 2016 Update
Medicaid Audits and NCCI Update: CSHA sent a letter to Gretchen Hammer at Colorado Medicaid on August 1st. The letter was shared with Christa Landis at the Medicaid Fraud Control Unit. Since that time, MFCU has stated that, based on communication received from Colorado Medicaid, it is clear fraud was not committed (any individual or business who has received communication from MFCU should obtain documentation regarding their own cases). The open cases were sent back to HCPF (Colorado Medicaid) for review and audit. CSHA has reached out to Medicaid via Jennifer Mello several times in August and have not yet received any further communication. At this point we would like to gather information for therapists on what they can expect in an audit with HCPF, what information the audit will be reviewing (i.e. documentation of services rendered vs any use of CPT codes), how we can help as a group moving forward.
Spring 2016 Update
Medicaid Audits and NCCI Update: CSHA Lobbyist Jennifer Mello, CSHA STAR Jenny Vail-Stencel, and members of the SLP Advocacy Group drafted a letter in response to the Department of Health Care Policy and Financing (HCPF). Read more.