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Regulation Medicaid Waivers List

[Sample] 7 documents to have ready before your Medicaid waiver audit

Auditors ask for the same records every time. Keep these in one folder and the visit goes faster.

Illustration of a stack of documents with a check mark

Sample article for testing the newsroom layout. The agencies, people and figures below are fictional.

A Medicaid waiver audit rarely surprises agencies that keep tidy files. It hurts the ones that have to search three systems for a signature. Here is the short list that our fictional auditor, Marcus Bell, says he asks for first.

  1. Signed service plans. Every client, current version, signed by the client or their representative.
  2. Electronic visit verification logs. Match them to billed hours before the auditor does.
  3. Caregiver training certificates. Include the date and the trainer's name.
  4. Background check results. One per caregiver, with the date it cleared.
  5. Incident reports. Even minor ones, with the follow-up action noted.
  6. Supervisory visit notes. Most waivers require them on a fixed schedule.
  7. Client rights acknowledgments. Signed at intake and kept with the service plan.

One habit that helps

Pick one day each month to pull a random client file and check it against this list. Ten minutes a month beats a week of scrambling when the audit letter arrives.

Agencies that keep these seven items current usually finish an audit in a single day.