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Vermont

Lamoille County Mental Health Services to pay $31,523 over caregiver disclosure lapses

The Vermont Attorney General's Office said the agency failed to give required behavioral and risk information to caregivers for two Medicaid clients, which the office said put caregivers and clients at greater risk of harm.

Lamoille County Mental Health Services has agreed to pay $31,523, train its staff and adopt compliance measures to settle allegations that it did not give caregivers for two Medicaid clients the information they needed, the Vermont Attorney General's Office said Friday.

The attorney general's office said the failures placed both the caregivers and the clients at increased risk of harm.

The settlement follows an investigation by the office's Medicaid Fraud and Residential Abuse Unit. That investigation began after a referral from the state Department of Disabilities, Aging and Independent Living, and it found a range of documentation failures, the attorney general's office said.

In one case, investigators found that the agency did not give a respite care provider several required documents in time. These included an individual support agreement, a behavior care plan and a written notice under Peggy's Law. The state law requires designated agencies to give home providers and workers behavioral and medication information about the people in the mental health system they care for.

In the second case, investigators found material inaccuracies in a client's Peggy's Law disclosure notice, behavior support plan and certain risk assessments, the office said.

Under the settlement, Lamoille County Mental Health Services is starting a staff training program on its Peggy's Law disclosure obligations. The agency is also reviewing its clients' behavior support plans and risk assessments to make sure they are accurate. It has also committed to going over its clients' supervision requirements and behavioral interventions in detail with caregivers, the attorney general's office said.

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Vermont