Conflict of Interest In Medicaid Managed Care Home-and Community-Based Services (HCBS) Regulations

Concerns about conflict of interest in the delivery of Medicaid long-term services and supports (LTSS) resulted in new rules promulgated by the Centers for Medicare and Medicaid Services (CMS) in 2016 that attempt to provide clarity and guidance around this thorny topic. The CMS regulations respond to the contention that conflict may occur when a community-based organization  (CBO) serves as both the agency assessing the need for services and delivering the services.

This webinar, part of a series supported by the Administration for Community Living’s (ACL) Business Acumen Learning Collaborative , presents background on conflict of interest policy, an overview of the new rules, and a breakdown of the implications for CBOs.

 

Presenters:

Fay Gordon, Project Manager, National Center on Law and Elder Rights

Julie Hamos, Principal, Health Management Associates

 

 Please click below to hear the audio from this webinar