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Medicaid Rehabilitation Services Made by Community Residence Providers

States can provide optional rehabilitation services under Medicaid programs available to adults with developmental disabilities and children and adolescents with serious emotional issues in certain community residential settings (e.g., group homes or supervised apartments). These residential rehabilitation services may include training and assistance with daily living skills, medication management, socialization, substance use disorder services, and parental training. Services are designed to improve or maintain the beneficiary's ability to remain and function in the community, as well as develop greater independence. Prior OIG audits of these services, over a decade ago, identified significant deficiencies. We will determine whether States claimed Federal Medicaid reimbursement for rehabilitation services provided by community residence providers in accordance with Federal and State requirements. In addition, we will determine whether previously audited States have made improvements to their Medicaid community residence rehabilitation programs based on the prior recommendations.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Complete (partial) Centers for Medicare and Medicaid Services Medicaid Rehabilitation Services Made by Community Residence Providers Office of Audit Services W-00-22-31563;