Memorandum for Home and Community-Based Services Staff and Stakeholders
DATE: July 10, 2026
FROM: Veronica Jameson, Bureau Chief, Bureau of Policy and Quality Enhancements
SUBJECT: Consumer Directed Services (CDS) Tax Information Remediation
This memorandum is to remind all Home and Community Based Services (HCBS) CDS providers of the requirements for maintaining accurate tax identification records in Fusion, and that remediation is required based on recent audit findings.
Per HCBS Policy 3.25 Appendix 1 and Missouri Code of State Regulations 19 CSR 15-8.400, CDS providers are required to complete the following for all CDS consumers:
- Enter both the Federal Employer Identification Number (EIN) and the Missouri Tax ID directly into the consumer’s record under the “HCBS Eligibility” section in Fusion
- Upload proof of EIN to the “Documents” tab under the “EIN Tax Documents” subtype
An audit conducted on June 22, 2026, by the Division of Senior and Disability Services (DSDS) identified significant compliance gaps regarding missing or incomplete EIN and Missouri Tax ID entries in provider records.
On July 10, 2026, DSDS will email each CDS provider with detailed findings from their agency’s audit. CDS providers must review consumer records and complete all required corrections no later than August 31, 2026.
All CDS providers will receive an email, including those in full compliance. The email will be sent to the business email address listed with Missouri Medicaid Audit and Compliance (MMAC). If an email was not received, please contact DSDS at QIQA@health.mo.gov. It is also important that the CDS provider's contact information is updated with MMAC to ensure future communications are received.
Please note that any consumer records not brought into compliance by the deadline will be referred to MMAC for further action.