By Forbes McIntosh, Government Policy Solutions, WALA Lobbyist:
The Wisconsin Department of Health Services Division of Long Term Care issued a memo to Wisconsin Medicaid long-term care providers reminding them that they may not use false, misleading or coercive statements to influence a person’s choice of provider, managed care organization or LTC program.
“DHS has recently received information that certain providers may be attempting to influence participant freedom of choice of long-term care program, provider or MCO through communications with participants that are inaccurate, misleading or coercive,” the memo states. “For example, DHS has received reports that some providers that subcontract to provide services with more than one MCO are attempting to influence participants to disenroll from one MCO and enroll in another MCO with which the provider has a more lucrative contract, or to enroll in a different program such as the IRIS waiver to receive their services.”
The memo, issued by Division Administrator Brian Shoup, warns that DHS may impose sanctions against a provider that does so. Read the Memo.