The Centers for Medicare & Medicaid Services needs to improve the job it does overseeing state Medicaid programs of managed long-term services and supports.

According to a new report by the U.S. Government Accountability Office, 22 states use MLTSS programs to help qualified seniors continue living independently in the community and to save money on nursing home costs.  CMS’s oversight of these efforts, and of the use of federal funds, is inconsistent and often falls short when monitoring key considerations such as provider network adequacy, critical incidents, and appeals and grievances.

To address these concerns, the GAO recommends that CMS

…take steps to identify and obtain information to oversee key aspects of MLTSS access and quality, including network adequacy, critical incidents, and appeals and grievances.

According to the GAO report, the U.S. Department of Health and Human Services agrees with these recommendations.

Learn about MLTSS oversight, what the GAO found, how it conducted its study, and what it recommended in the GAO report Medicaid Managed Care:  CMS Should Improve Oversight of Access and Quality in States’ Long-Term Services and Supports Program, which can be found here.