Centers for Medicare & Medicaid Services

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Open Recommendations (134 total)

Medicare Telehealth: Actions Needed to Strengthen Oversight and Help Providers Educate Patients on Privacy and Security Risks

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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should comprehensively assess the quality of Medicare services, including audio-only services, delivered using telehealth during the public health emergency. Such an assessment could include leveraging evidence from related efforts led by other HHS agencies. (Recommendation 3)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should develop an additional billing modifier or clarify its guidance regarding billing of audio-only office visits to allow the agency to fully track these visits. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should require providers to use available site of service codes to indicate when Medicare telehealth services are delivered to beneficiaries in their homes. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control

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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should provide additional guidance in the State Operations Manual on making scope and severity determinations for IPC-related deficiencies. (Recommendation 3)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should collect infection preventionist staffing data and use these data to determine whether the current infection preventionist staffing requirement is sufficient. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should establish minimum infection preventionist training standards. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid: CMS Should Assess Effect of Increased Telehealth Use on Beneficiaries' Quality of Care

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should collect and analyze the information needed to assess the effect delivering services via telehealth has on the quality of care Medicaid beneficiaries receive. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

As of September 2022, CMS has not reported any action on this recommendation. When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The Administrator of CMS should determine, based on the results of its initial assessment, whether further assessments of the effect delivering services via telehealth has on the quality of care Medicaid beneficiaries receive are warranted, for the purposes of developing guidance to assist states in making telehealth coverage and payment decisions. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

As of September 2022, CMS has not reported any action on this recommendation. When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Behavioral Health: CMS Guidance Needed to Better Align Demonstration Payment Rates with Costs and Prevent Duplication

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should issue clear and consistent written guidance that highlights the importance of rebasing CCBHC payment rates based on actual costs and provides more detailed information on when and how states should rebase their rates, such as suggested time frames. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

HHS concurred with this recommendation and in March 2022, HHS indicated that CMS was in the process of updating question and answer documents posted to Medicaid.gov to provide clearer written guidance to states regarding the rebasing of CCBHC payment rates. GAO is keeping this recommendation open until CMS completes its planned updates.
Centers for Medicare & Medicaid Services The Administrator of CMS should provide clear and consistent written guidance to states on how to avoid potential duplication between Medicaid CCBHC payments and other Medicaid payments. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

HHS concurred with this recommendation and in March 2022, HHS indicated that CMS was in the process of updating question and answer documents posted to Medicaid.gov to provide clearer written guidance to states on how to avoid potential duplication between Medicaid CCBHC payments and Medicaid payments when clinics are also certified as additional provider types. GAO is keeping this recommendation open until CMS completes its planned updates.