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DMAS: Patient Pay Underpayments Have Been Stopped

A July 26 Medicaid Bulletin explains that  DMAS has issued a broadcast notice to local departments of social services that staff should immediately stop calculating patient pay underpayments for nursing facility residents.

The broadcast notice is based on recent guidance from CMS, and it contains the following information that patient pay underpayments: 

  • should no longer be calculated, and
  • should no longer be referred to the DMAS Recipient Audit Unit for recovery.

 

VHCA-VCAL reported last week that we reached out to DMAS with concerns about the patient pay amounts as part of the Medicaid redetermination process underway after the end of the public health emergency (PHE).