Auditing Services

The Vendor is required to provide to audit the participant-directed home and community based long-term services and supports program (LTSS).
- Spending reports and claim management
•    Review and verify monthly spending reports provided to the office by the FMS for each veteran enrolled for accuracy.  
o    Each veteran’s monthly expenditures do not exceed their monthly budget;
o    Each veteran’s monthly expenditures do not include unbillable days, as determined, and communicated by the office.
•    Communicate errors found on veteran spending reports to the office and the FMS and track the status of corrections.
•    Email monthly spending reports to the Administration for review and approval.  Respond to the Administration request for corrections to spend reports and inform the office and FMS on needed corrections.  Email corrected spend reports to the Administration for approval.
•    Inform FMS when monthly spending reports are approved by the Administration.
- FMS invoice
•    Review monthly Program and Directed invoices submitted to the office by the FMS for accuracy.
•    Identify and communicate with the office and FMS concerns, corrections, and questions.  Track corrections.
•    Ensure FMS invoice for the Directed program reflects costs identified in the spending report for each participant.
•    Recommend payment of FMS invoice to the office.
•    Track monthly expenditures for Program and Directed participants.
- Coach monthly and quarterly contacts
•    Generate monthly and quarterly coach contact report from well sky (or Mon ami) monthly as requested by the Administration and office.
•    Review and verify contacts made by coaches.
•    Inform office of missing monthly and quarterly contacts.
- Billing
•    Generate electronic claim for Directed enrollment fee using the office electronic billing platform.
•    Track claim status and report claim acceptance and rejection to the office .
- Spend plan
•    Track spend plan due dates for Directed and Directed participants.
•    Inform coaches of spend plan due date six (6) weeks prior to expiration
- Assessment
•    Track assessment due dates for Directed and Directed
•    Inform assessors six (6) weeks prior to due date.

- Contract Period/Term: 1 year