Consumer Directed Program (CDS) Orientation (Provider Training)

What this rule requires your agency to do

• 1As the CDS vendor, the provider must ensure all payroll, employment, and other taxes are timely filed and paid on behalf of the consumer under the consumer's EIN; failure may incur a $1,000 per-occurrence penalty and vendor liability for garnishment (Senate Bill 710, eff. August 2022).(Consumer Directed Program (CDS) Orientation (Provider Training))
• 2Providers must not bill solely off the prior authorization/care plan but must base claims on documentation of actual services rendered, and must not fabricate records in response to a records request (a notarized Business Records Affidavit accompanies each request).(Consumer Directed Program (CDS) Orientation (Provider Training))
• 3Providers must notify the MMAC Provider Enrollment Unit of any enrollment changes within 90 days of the effective date, except changes in ownership (CHOW) which must be reported within 30 days (13 CSR 70-3.020(7)).(Consumer Directed Program (CDS) Orientation (Provider Training))
• 4Providers must screen all employees and attendants against the OIG List of Excluded Individuals/Entities (LEIE) monthly (CDS Program Requirements 5.2).(Consumer Directed Program (CDS) Orientation (Provider Training))
• 5CDS vendors must submit quarterly Financial & Service Reports (due Apr 30, Jul 31, Oct 31, Jan 31) and an annual survey/report due Jan 31 of the following year.(Consumer Directed Program (CDS) Orientation (Provider Training))
• 6Providers must screen all employees and attendants against the Family Care Safety Registry (FCSR) prior to hire (DHSS recommends annual FCSR re-screening) and check the Employee Disqualification List (EDL) prior to hire and every quarter; anyone listed on the EDL must not be hired.(Consumer Directed Program (CDS) Orientation (Provider Training))
• 7CDS vendors must submit an annual financial statement audit by a licensed CPA within 150 days after their fiscal year end (19 CSR 15-8.400(7)); an audit is required if annual gross revenue is $200,000 or more, otherwise an audit or review (RSMo 208.909).(Consumer Directed Program (CDS) Orientation (Provider Training))
• 8CDS providers must maintain a dedicated physical office (no virtual offices) with a door, privacy, and locks on file cabinets and doors, operating at least three (3) days per week Monday–Friday for a minimum of four (4) hours each day between 8:00am–5:00pm.(Consumer Directed Program (CDS) Orientation (Provider Training))