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Thursday, May 6, 2021

Medicaid Inspector General Issues New Report

TOPEKA – (June 5, 2020) – Kansas Medicaid Inspector General Sarah Fertig today released a new report containing findings from a review of the Kansas Medicaid system’s list of active personal care attendants and whether the current system is properly excluding individuals who are barred by federal law from providing those services to Medicaid beneficiaries.

The U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) has identified personal care services as a high-risk area for fraud, waste, abuse and illegal acts involving the Medicaid program. The review report cites lack of direct supervision in a person’s home, lack of uniform standards for personal care attendant qualifications and no requirement by Centers for Medicare and Medicaid Services (CMS) for states to enroll personal care attendants as providers as reasons for the high risk.

The report examines whether it is possible for any of the current 581 Kansas individuals and businesses listed on the HHS OIG exclusion list to provide personal care services to a Kansas Medicaid beneficiary despite the state and federal law and policies in place to prevent such an occurrence. The review found four HHS OIG-excluded individuals listed as “active” on the state’s AuthentiCare electronic verification system, and contains three recommendations for the Kansas Department of Aging and Disability Services (KDADS) to resolve the issues identified.

The report was submitted to Kansas Attorney General Derek Schmidt, Secretary of Health and Environment Lee Norman, KDADS Secretary Laura Howard and the members of the Robert G. (Bob) Bethell Joint Committee on Home and Community Based Services and KanCare Oversight.

The report is available at www.ag.ks.gov/medicaid-ig.

Derek Nesterhttps://sunflowerstateradio.com
Derek Nester was born and raised in Blue Rapids and graduated from Valley Heights High School in 2000. He attended Cowley College in Arkansas City and Johnson County Community College in Overland Park studying Journalism & Media Communications. In 2002 Derek joined Taylor Communications, Inc. in Salina, Kansas working in digital media for 550 AM KFRM and 100.9 FM KCLY. Following that stop, he joined Dierking Communications, Inc. stations KNDY AM & FM as a board operator and fill-in sports play-by-play announcer. Starting in 2005 Derek joined the Kansas City Chiefs Radio Network as a Studio Coordinator at 101 The Fox in Kansas City, a role he would serve for 15 years culminating in the Super Bowl LIV Championship game broadcast. In 2021 he moved to Audacy, formerly known as Entercom Communications, Inc. and 106.5 The Wolf and 610 Sports Radio, the new flagship stations of the Kansas City Chiefs Radio Network, the largest radio network in the NFL. Through all of this, Derek continues to serve as the Digital Media Director for Sunflower State Radio, the digital and social media operations of Dierking Communications, Inc. and the 6 radio stations it owns and operates across Kansas.

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