Conflict Free Case Management

The Department of Health and Human Services (DHHS) has asked area agencies to distribute “Conflict of Interest” information associated with a Centers for Medicare and Medicaid Services (CMS) rule requiring agencies to be fully “conflict-free” by August 31, 2021. The “conflict-free” rule means agencies cannot provide both direct service and case management to the same individuals.

The impact to Gateways Community Services is minimal as the vast majority of our work is already conflict-free. Of the 514 individuals receiving Gateways Community Services’ service coordination, only 23 individuals receive both service coordination and direct services from one of our vendors, The PLUS Company, and there’s 1 individual dually served by our vendor RRI. Gateways will continue working closely with these vendors to ensure continued care for clients and compliance with CMS’ rule.

Here is the “Conflict of Interest Frequently Asked Questions” recently released from the Department of Health and Human Services, Division of Long Term Supports and Services, Bureau of Developmental Services. Click here for the Spanish version.