Medicaid Fraud Audits 2018



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Medicaid Fraud Audits 2018

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Medicaid Oversight: Existing Problems and Ways to Strengthen the …

oig.hhs.gov

Jan 31, 2017 Created by statute in 1976, OIG remains a nonpartisan body of evaluators,
auditors and investigators … Protecting Medicaid from fraud, waste, and abuse is
an urgent priority because of its impact on ….. Subcommittee, and the Committee
at large, beginning in 2018, State Medicaid agencies will be required.

GAO-17-277, Accessible Version, MEDICAID PROGRAM INTEGRITY

www.gao.gov

Mar 15, 2017 contractors to audit providers, and providing training. In recent years,. CMS made
changes to its Medicaid program integrity efforts, including a shift to collaborative
audits. GAO was asked to examine CMS's oversight and support of states'.
Medicaid program integrity efforts. GAO examined, among other …

FY 2018 Congressional Justification for Center for … – CMS.gov

www.cms.gov

AND HUMAN. SERVICES. FISCAL YEAR. 2018. Centers for Medicare &.
Medicaid Services. Justification of. Estimates for. Appropriations Committees …
Medicaid. 90. Payments to the Health Care Trust Funds. 110. Other Accounts.
Health Care Fraud and Abuse Control. 124. Children's Health Insurance Program
. 150.

Comprehensive Medicaid Integrity Plan for FYs 2014-2018 [PDF …

www.cms.gov

Jul 1, 2014 FFYs 2014 – 2018. 4. To build the capacity of state Medicaid agencies to prevent
and detect fraud, waste, and abuse against the Medicaid program, CMS will: •
Streamline …. First, in February 2011, CMS stopped assigning audits to Audit
Medicaid Integrity Contractors (MICs) based solely on data from the …

Medicare Learning Network – CMS.gov

www.cms.gov

Parts C and D Fraud,. Waste, and Abuse. (FREE). Learn about Fraud, Waste and
Abuse (FWA) in Medicare, including laws and regulations; consequences and
penalties; and … https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-
and-Part- · D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance.
html.

CMCS Informational Bulletin – Medicaid.gov

www.medicaid.gov

Dec 13, 2016 SUBJECT: Strengthening Program Integrity in Medicaid Personal Care Services.
Introduction. The Centers for Medicare & Medicaid Service (CMS) and states are
taking important steps to support increased access by Medicaid beneficiaries
who are aged or have a disability to high- quality home and …

Medicaid and CHIP Managed Care Final Rule (CMS … – Medicaid.gov

www.medicaid.gov

This final rule is the first update to Medicaid and CHIP managed care regulations
in over a decade. The health care delivery landscape has … fiscal year starting
on or after July 1, 2018. – Applicability dates/Relevance of some 2002 …
Treatment of a Plan's Recovery of Overpayments. • Fraud Prevention Activities in
the MLR.

MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR

www.justice.gov

Note: This FY18 Training Calendar is subject to funds availability. Emerging
Trends in Medicaid—Opioids. October 17-19, 2017. HCPro's Evaluation and
Management Boot Camp. December 6-7, 2017. HCPro's Certified Coder Boot
Camp—Original Version. January 8-12, 2018. Data Experts Symposium. January
23-25 …

Office of the State Auditor—Annual Report Medicaid Audit Unit

www.mass.gov

Mar 14, 2017 Medicaid Audit Unit (the Unit) for the purposes of preventing and identifying fraud
, waste, and abuse in … MassHealth as a result of audits whose findings were
issued at least six months ago for which a follow-up …… plan year starting in fiscal
year 2018 and was developing a set of MCO program reforms,.

Initial Six-Month Report – Illinois.gov

www.illinois.gov

Oct 1, 2016 to the Illinois State Police Medicaid Fraud Control Unit … Medicaid system.11.
The Task Force is made up of a diverse membership of agency leaders with
experience administering health care programs and leading fraud, waste, and
abuse ….. Regular audits of vendors, focusing audits on high- fraud areas …

DOH Medicaid Update – New York State Department of Health – NY …

www.health.ny.gov

May 13, 2017 All Providers. Medicaid Managed Care Encounter Reimbursement Process for
Capitation Payments Recovered in Audit …………. 3. Attention Managed ….
requires that effective January 1, 2018, all Medicaid Managed Care and
Children's Health Insurance Program providers must enroll with state Medicaid …

State of Wisconsin FY 2015-16 Single Audit | full report

legis.wisconsin.gov

Apr 30, 2017 through its hotline at 1-877-FRAUD-17. For more information, visit www.legis.
wisconsin.gov/lab. Team Leaders. Auditors. Shellee Bauknecht …. State of
Wisconsin Expenditures of Federal Funds1. FY 2015-16. Federal Program.
Primary. Recipient. Expenditures. Percentage of Total. Medicaid Cluster. DHS.

budget and policy brief – New York City Comptroller – NYC.gov

comptroller.nyc.gov

A Review of Federal Medicaid Reimbursement … FY 2015 budget reflects
downward Medicaid adjustments for fiscal years 2015 – 2018 of a cumulative
$310 …. Federal Audit. Between 1995 and 2005, relying on New York State
guidelines, DOE averaged $108 million a year in. Medicaid reimbursement,
ranging from $85.2 …

Audit of the Department of Human Services' Med … – Hawaii.gov

files.hawaii.gov

Jan 2, 2014 http://auditor.hawaii.gov/. Audit of the Department of Human. Services' Med-
QUEST Division and Its. Medicaid Program. Report No. 14-02, January 2014.
Med-QUEST reporting and inattention to fraud impede legislative efforts to
contain costs. Data provided by division does not fullfill legislative needs.

here

www.grassley.senate.gov

Dec 14, 2015 Question 1: In the past five years, how many nursing home abuse investigations
and audits has HHS OIG … OIG also works with the MFCUs to identify not only
patient abuse cases but all Medicaid fraud …. Departmental programs and
promotes public safety as explained in our 2014-2018 Strategic · Plan.

FY-2018 Executive Budget Book – OK.gov

www.ok.gov

Feb 6, 2017 Governor Mary Fallin's FY-2018 budget consists of her budget recommendations
to the 2017. Legislature, as …… During the year, the Medicaid Fraud Unit
received referrals from various agencies including the … field audits of all 16
tobacco wholesalers located in the State of Oklahoma as well as one large.

Louis Tratenberg, DDS Settlement Agreement – State of New Jersey

www.nj.gov

(1) Tratenberg agrees to pay restitution to the Medicaid program in the sum of
Two. Hundred and Fifty … (d) Twenty-Nine Thousand Dollars ($29,000) shall be
due by January 1, 2018;. (e) Twenty-Nine … this Settlement Agreement waives
the rights of MFD to conduct an audit or investigation of prior or future years for
the …

Annual Report – Ohio Medicaid – Ohio.gov

medicaid.ohio.gov

Jun 2, 2016 conducting on-site provider visits to identify and combat instances of fraud, waste,
and abuse;. » engaging local … Ohio Medicaid spending $1.3 billion below the
original budget estimate enacted by the Ohio General Assembly ….. ODM
anticipates implementing the EVV service in early 2018. Medicaid …