RSMUS.comGovernment agencies face a growing list of regulatory requirements, particularly within Medicaid and Health and Human Services (HHS) programs. The CMS Access Rule introduces mandates aimed at improving service delivery, beneficiary protections, and transparency—making digital transformation essential for compliance.
Key Priorities and Requirements
The CMS Access Rule focuses on five priority areas:
- Person-Centered Planning – Annual reviews of care plans.
- Access to Services – Reporting on waiting lists.
- Health & Welfare – Implementing national incident management standards.
- Quality Improvement – Reporting on quality measure sets.
- Beneficiary Protections – Establishing a grievance system for Home and Community-Based Services (HCBS).
States must also demonstrate payment adequacy for direct care workers, adding another layer of complexity to compliance.
How RSM’s Case Management Accelerator Helps
RSM’s Case Management Accelerator, powered by Microsoft Dynamics 365, enables agencies to:
- Clarify Requirements and simplify compliance.
- Streamline Workflows and reduce administrative burdens.
- Demonstrate Compliance through real-time reporting and data analytics.
Navigating the Funding Process
Implementing these changes can be costly, but CMS offers funding through the Design, Development, or Installation (DDI) matching process. RSM’s deep expertise in DDI certification helps states secure funding while ensuring system compliance with federal Medicaid requirements.
Join Our Upcoming Webinar
To support HHS leaders responsible for HCBS compliance, RSM is hosting an informative webinar in the coming weeks. Stay tuned for details!
Ready to modernize your systems and ensure compliance? Contact us today to learn how RSM’s Case Management Accelerator can help you succeed.
