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Deficit Reduction Act Compliance Policies
July 13, 2009

As members that provide intellectual disability services, including supports coordination, move into new payment processes, this is a reminder that the Deficit Reduction Act of 2005 requires entities that receive $5 million or more in Medicaid payments need to develop and disseminate compliance policies and procedures. Providers are also required to ensure that employee handbooks include information regarding the False Claims Act, whistleblower protections, and compliance efforts.

On September 7, 2007, the Department of Public Welfare issued Medical Assistance Bulletin #99-07-13 Update Regarding False Claims Provisions of Deficit Reduction Act of 2005: Employee Education about False Claims Recovery. Entities receiving over $5 million from Medical Assistance must comply with Section 6032 as a condition of receiving payment. The bulletin includes a two-page Attestation of Compliance with Section 6032 of the Federal Deficit Reduction Act which must be submitted by providers and states that the Bureau of Program Integrity will monitor for compliance. The bulletin is available at http://www.dpw.state.pa.us/PubsFormsReports/NewslettersBulletins/003673169.aspx?BulletinId=4091.

This reminder was shared by PCPA endorsed venor Paul Stanalonis, executive officer, Stanalonis and Associates, LLC. PCPA thanks Mr. Stanalonis for his assistance as members transition to the new fee-for-service prospective payment system.

 

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