Department of Health and Department of Human Services
Home and Community-Based Services at the Department of Health and the Department of Human Services
October 1998
Report Number 99-005
Overall Conclusion
The Department of Health and Department of Human Services do not fully share information related to home and community service providers. Additionally, these agencies do not capture some significant information needed to produce a comprehensive history of those providers. Without both agencies fully understanding a provider's history, the State risks making inappropriate decisions related to licensing and contracting, which leaves the State vulnerable to fraud and abuse by providers.
Key Facts and Findings
The Department of Health, the Department of Human Services, and the Health and Human Services Commission should identify and evaluate alternative means for sharing information related to Home and Community Support Services providers' history and past performance.
The Department of Health should continue to move toward a comprehensive, integrated information system to ensure that Home and Community Support Services providers are meeting licensure and certification requirements.
The on-site review nurses, for Medicaid home health services, should be transferred from the Department of Health to the Health and Human Services Commission.
The Department of Human Services has contract procedures in place to manage agreements between the State and providers for the delivery of home and community care services but improvements are still needed.
The Department of Human Services' case management procedures help to ensure that quality care is provided to clients.
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