Long-Term Care Research Pulse
Medicaid: Improved Oversight Needed of State Eligibility Error Corrective Action Plans
Wealth Defender HQ Bottom Line
If Medicaid is part of your long-term care plan, check your state's eligibility requirements before counting on coverage. GAO describes how eligibility errors are tracked and how states must plan to fix them, but this overview does not explain who qualifies for long-term care coverage.
This takeaway is editorial analysis of the linked source by the Wealth Defender HQ research team. It is not investment, legal, insurance, or tax advice.
What the source reports
What GAO Found The Centers for Medicare & Medicaid Services (CMS) oversees the accuracy of Medicaid eligibility determinations through the Payment Error Rate Measurement (PERM) and the Medicaid Eligibility Quality Control (MEQC) programs. CMS estimates improper payments due to eligibility errors through its PERM program, and both the PERM and MEQC programs identify the root and specific causes of Medicaid eligibility errors and require states to develop corrective action plans (CAP) to address them. Root causes describe the source of the error and specific causes describe the exact action
Original source
Full reporting stays with the original publisher. Our contribution is the takeaway above.
Read the original at U.S. Government Accountability Office