Medicaid Fraud Cases in Louisiana 2018



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Medicaid Fraud Cases in Louisiana 2018

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ACT No. 420 – Louisiana State Legislature

www.legis.la.gov

2. To amend and reenact R.S. 46:440.1(E)(2) and to enact Subpart D-1 of Part VI-
A of Chapter. 3. 3 of Title 46 of the Louisiana Revised Statutes of 1950, to be
comprised of R.S.. 4. 46:440.4 through 440.8, relative to Medicaid fraud detection
and prevention; to. 5 create a task force on coordination of Medicaid fraud
detection …

Louisiana Department of Health – Legislative Auditor

www.lla.la.gov

Nov 29, 2017 This document is produced by the Louisiana Legislative Auditor, State of
Louisiana, Post Office. Box 94397 … MCOs to operate the Healthy Louisiana
Medicaid program through January 31, 2018. In addition …. place after a
Medicaid recipient became deceased could indicate fraud or improper billing by.

Louisiana Department of Health – Office of Behavioral Health

www.lla.la.gov

Oct 18, 2017 This document is produced by the Louisiana Legislative Auditor, State of
Louisiana, Post Office. Box 94397 … five Healthy Louisiana Managed Care
Organizations (MCOs) provide Medicaid recipients with access to an …. Ensuring
that providers are licensed is important because the Medicaid Fraud Control.

LDH Strategic Plan 2017-2022 – Louisiana Department of Health

new.dhh.louisiana.gov

Jul 1, 2014 SECRETARY. State of Louisiana. Louisiana Department of Health. Division of
Planning and Budget. Bienville Building ▫ 628 N. Fourth St. ▫ P.O. Box 4094 ▫
Baton Rouge, Louisiana 70821-4094 … 2018-2022 LDH Strategic Plan …..
Health Insurance Marketplace or the Louisiana Medicaid portals. (Key).

Louisiana Department of Health – Louisiana Legislative Auditor

www.lla.la.gov

Nov 15, 2017 other states, would have saved approximately $19.7 million in payments to
nursing facilities in fiscal year 2016. LDH uses a case mix reimbursement
methodology outlined in state law that Myers and Stauffer uses to calculate
Medicaid rates. However, unlike other states, Medicaid rates in Louisiana are …

State of LouisianaLouisiana Department of Health – Louisiana.gov

www.dhh.louisiana.gov

Apr 11, 2016 State of Louisiana. Department of Health and Hospitals. Bureau of Health
Services Financing. Medicaid Management Information System. REQUEST FOR
PROPOSALS. For. THIRD PARTY LIABILITY (TPL) ACTIVITIES. RFP #
3000005038. Proposal Due Date/Time: May 13, 2016, 4:00 pm CT. Release …

2016 Regular Session of the Louisiana Legislature House …

house.louisiana.gov

Jun 6, 2016 revenues, increased Medicaid enrollment and costs, and delayed payments in
the Medicaid program. Revenue … The largest component being a 1% increase
in the state sales tax rate until June 30, 2018, suspension of …. Mental health
cases preventing possession under federal law (HB 135). Eligibility to …

Personal Care Services: Trends, Vulnerabilities … – OIG .HHS .gov

oig.hhs.gov

Jun 20, 2012 program area and identifies trends in payment, compliance, oversight, or fraud
vulnerabilities requiring … and fraud vulnerabilities that demonstrate the need for
Centers for Medicare & Medicaid Services (CMS) ….. OIG and the MFCUs have
noted an increasing amount of fraud cases involving PCS. As of.

Medicaid Fraud Control Units Fiscal Year 2014 … – OIG .HHS .gov

oig.hhs.gov

Apr 3, 2015 by the U.S. Department of Justice and involve a group of State MFCUs. The
National. Association of Medicaid Fraud Control Units (NAMFCU) facilitates the
settlement of global cases on behalf of the States. OIG Oversight of MFCUs. OIG
has oversight responsibility for the MFCUs and administers the grants …

CMS Region 7 Updates – 09/15/2017 – Missouri Department of …

health.mo.gov

Sep 14, 2017 CMS issues bulletin regarding the Navigator program and the upcoming 2018
Open Enrollment Period …. June 2017 Medicaid and Children's Health Insurance
(CHIP) Enrollment Data Available ………………. 10. CMS Helping Texas and
Louisiana with Hurricane Harvey Recovery .

MACStats: Medicaid and CHIP Program Statistics – macpac

www.macpac.gov

Mar 3, 2014 Child Enrollment in Medicaid-Financed Coverage by State, and CHIP-Financed.
Coverage by State and … Medicaid Spending by State, Category, and Source of
Funds, FY 2013 (millions). . . . . . . . . . A . …… The numbers here were altered to
put all of these enrollees at or below 200 (250 in the case of k.

State of Oklahoma Fiscal Year 2017 Executive Budget – OK.gov

ok.gov

Feb 1, 2016 Years 2016, 2017 and 2018, or for appropriations in Fiscal Year 2018 if the
effects of low oil prices continue reducing ….. Texas, Kansas, Arkansas and
Louisiana. • ODAFF Laboratory ….. The Unit initiated over 100 investigations and
filed 17 Medicaid Fraud cases and 15 cases of fraud related to abuse or …

MLTSS – The National Landscape

www.dhhs.nh.gov

Oct 4, 2016 capitated Medicaid managed care plans. • Plans can be a managed care
organization, pre-paid inpatient health plan, or a pre-paid ambulatory health plan
(depending on scope of benefits provided). • In many cases, plans are covering
medical services as well, which provides a comprehensive delivery.

Summary of Prescription Drug Benefits – Statewide Benefits

ben.omb.delaware.gov

Oct 31, 2017 coverage. The effective date of this summary is January 1, 2018. …. Premium
Assistance under Medicaid and the Children's Health Insurance Program. (CHIP)
. …… due to fraud or intentional misrepresentation. Please refer to the Express
Scripts Member Communications you received in the mail. The 2018.

University Medical Center Management Corporation 2014 Audit …

hab.hrsa.gov

We have audited the accompanying consolidated financial statements of
Louisiana Children's. Medical Center (LCMC) (the … free from material
misstatement, whether due to fraud or error. Auditor's Responsibility ….. Services
to all citizens of the State, including its medically indigent, high risk Medicaid and
State inmate …

SETTLEMENT AGREEMENT – Department of Justice

www.justice.gov

Sep 2, 2014 submitted false claims to state Medicaid programs and the United States
Department of Veterans. Affah's (the …. National Association of Medicaid Fraud
Control Units Settlement Team ("NAMFCU Team"), …. the Payment Schedule,
and collection costs as set forth in Paragraphs 1 and 2 above in the case.

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

legis.wisconsin.gov

Apr 30, 2017 The Bureau accepts confidential tips about fraud, waste, and …. The Department
of Health Services (DHS) is responsible for the Medicaid Cluster, ….. on the case.
Questioned Costs: Undetermined. Context: DHS receives funding from DHHS to
administer the MA Program. Funding under this program is …

The Federal Affordable Care Act – Wisconsin Legislative Documents

docs.legis.wisconsin.gov

Jan 31, 2017 individuals under their Medicaid and children's health insurance (CHIP)
programs; (d) establish- … apply in all three cases, unless otherwise indicat- ed.
Health insurance plans that were in effect prior … performs fraud or intentional
misrepresentation. This provision first applied to coverage beginning.