Monitoring the Delivery of Personal Care Services: Key Considerations for Health Plans

Health plans increasingly will be required to provide oversight for a broader range of services as more states contract for managed long-term services and supports.  These services may include personal care services delivered by direct service workers (DSWs).  Monitoring the delivery of personal care services ensures adherence to members’ service plans and supports quality of care.  Additionally, monitoring the delivery of personal care services can prevent fraud and abuse, ensuring that the services being billed are actually provided.  This brief highlights considerations for overseeing personal care services and presents options for monitoring the provision of these services.

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