The recent news cycle continues to focus attention on the State of Rhode Island’s cash outflows related to Medicaid advances. Last week, the State announced its plan to automatically and systematically recoup from the monthly remittance advances for which Medicaid eligibility has been approved. The recoupment will take place over a 14-month period beginning in May 2019.
Do you have the necessary information readily available to reconcile and verify the recoupment amounts?
To facilitate, anticipate and verify the accuracy of the monthly recoupments, assemble the documentation that provides detailed information about advances, eligibility approvals, and related claims that have been settled through MMIS. The following information, located in one place and reconciled to your internal records, will facilitate this reconciliation.
Note: Providers remain eligible to request additional advances.
Throughout this process, it is important to keep your stakeholders, (staff, patient’s families/responsible parties, service providers, referral sources, decision-makers, influencers), informed about your proactive efforts and results.