Residential Service Agencies Provider Compliance Audits

REQUIREMENTS: - Immediately: All providers operating as Residential Service Agencies (RSAs) under Community Personal Assistance Services, Community First Choice, or Personal Assistance/Care Services programs must ensure management and compliance staff are informed of this transmittal. - Immediately: Establish internal procedures to respond promptly to all Maryland Department of Health (MDH) audit initiation requests and inspection notices. Non-response to three MDH outreach attempts will result in automatic provider suspension. - Establish internal process to ensure full cooperation with announced or unannounced MDH inspections during business hours and provide unrestricted access to office facilities and records upon request. - Upon receipt of a Plan of Correction (POC): Billing/compliance team must respond within 15 calendar days with documented corrective actions. Failure to respond or continued non-compliance within 6 months will trigger escalating sanctions including payment withholding and program termination. - Audit/Compliance Officer: Review organizational leadership against the 24-month lookback prohibition criteria (suspended/revoked licenses, prior Medicaid suspension, prior sanctions, disciplinary actions, health/safety citations, or termination for contractual/billing fraud violations). - Contact mdh.cfcprovidersrsas@maryland.gov with any questions or to clarify audit expectations.