SS/SCS/SB 553 - Current law requires both personal care assistance vendors in the consumer directed care services program and in-home services provider agencies to use a telephone tracking system to review and certify the accuracy of reports of delivered services by July 1, 2015. This act changes all references to "telephone tracking system" to "electronic system". This act also revives the expired consumer directed and in-home program pilot projects and requires the Office of Administration (OA) in collaboration with the Missouri Medicaid Audit and Compliance Unit as well as other appropriate agencies to establish the pilot projects, with two in an urban area and two in a rural area for each program. The act specifies the issues to be studied and included in the report, which shall be submitted to the Governor and General Assembly by July 1, 2018. This act also delays the start date for mandatory operation of an electronic system, from July 1, 2015, to a contingent effective date based on whether the study conducted by OA finds that there has been a statistically significant rise in fraud detection rates or certain required reporting requirements in comparison to a separate and substantially similar set of providers not utilizing an electronic system. If so, the electronic system shall be implemented one year from the date OA notifies the Revisor of Statutes that such rise in fraud detection rates or accuracy of reporting has occurred. ADRIANE CROUSE