Medicaid Fraud in California 2018



AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

medicare benefits (PDF download)

medicare coverage (PDF download)

medicare part d (PDF download)

medicare part b (PDF download)

Medicaid Fraud in California 2018

PDF download:

newsline – California Department of Industrial Relations

www.dir.ca.gov

P.O. Box 420603 · San Francisco, CA · 94142-0603 · www.dir.ca.gov. Newsline
No.: 2018-04. Date: January 11, 2018. DWC Suspends Seven Medical Providers
for Fraud or Loss of License. The Division of Workers' … to Medicare and Medi-
Cal for services that were medically unnecessary, not ordered by a doctor and/or
 …

Department of Health Care Services – California Department of …

www.dhcs.ca.gov

www.dhcs.ca.gov. DATE: November 14, 2017. ALL PLAN LETTER 17-019.
SUPERSEDES ALL PLAN LETTER 16-012. TO: ALL MEDI-CAL MANAGED
CARE HEALTH PLANS … by January 1, 2018. BACKGROUND: On February 2,
2011, CMS issued rulemaking CMS-6028-FC4 to enhance fee-for- service (FFS)
provider …

This Settlement Agreement ("Agreement") – California Department of …

www.insurance.ca.gov

CALIFORNIA DEPARTMENT OF INSURANCE SETTLEMENT AGREEMENT. (
INSURANCE … Medicaid Participating States (as defined in those separate state
settlement agreements), including California, by and ….. analogous provisions in
the state FCA statutes, the California Insurance Fraud Prevention Act, or the
Illinois …

MEDI-CAL DRUG USE REVIEW (DUR) BOARD State of California

files.medi-cal.ca.gov

May 16, 2017 Notice is hereby given that the Medi-Cal DUR Board will conduct a public
meeting on Tuesday, May … Proposed DUR Board Meeting Dates for 2017/2018:
… You can obtain the DUR Board agenda from the Medi-Cal DUR Main Menu
Web site (http://files.medi-cal.ca.gov/pubsdoco/dur/dur_home.asp).

newsline – California Department of Industrial Relations

www.dir.ca.gov

P.O. Box 420603 · San Francisco, CA · 94142-0603 · www.dir.ca.gov. Newsline
No.: 2018-01. Date: January 2, 2018. DWC Suspends 28 Medical Providers for
Fraud or Loss of License. The Division of … California Department of Health Care
Services from participating in the Medi-Cal program for an indefinite period of
time.

California Department of Health Care Services Strategic Plan 2013 …

www.dhcs.ca.gov

In many respects, it's an even bigger job now. When we embarked on our
strategic plan, we administered health care services for 8.5 million Medi-Cal
members. Since the expansion of Medi-Cal through the Affordable Care Act (ACA
) in 2014, that number has grown to more than 12.5 million men, women and
children …

Medicaid Oversight: Existing Problems and Ways to Strengthen the …

oig.hhs.gov

Jan 31, 2017 Protecting Medicaid from fraud, waste, and abuse is an urgent priority because of
its impact on the health of … administer and oversee Federal grants to State
Medicaid Fraud Control Units (MFCU) and …. providers – representing 8 percent
of California's general dentists and orthodontists – either billed for.

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 CMS ….. 10 As of January 2014, the 21 Medi-Medi states are
Alabama, Arizona, Arkansas, California, Colorado, Florida, Georgia, Iowa,.

CMCS Informational Bulletin – Medicaid.gov

www.medicaid.gov

Dec 13, 2016 1 CMCS Informational Bulletin, “Suggested Approaches for Strengthening and
Stabilizing the Medicaid Home Care …. "Investigative Advisory on Medicaid
Fraud and Patient Harm Involving Personal Care Services," p. 2, …. Evaluation of
California's In-Home Supportive Services Pilot Program Training.

Fentanyl Abuse in Utah and Risks to First Responders

ibis.health.utah.gov

Oct 3, 2017 certain formulations of fentanyl analogs, illegal labs in China and other locales
develop new formulations on a regular basis to circumvent these restrictions.2
Based on national-level trends, we expect to see increases in the number of
deaths related to illicit fentanyl and fentanyl analogs in Utah. Similar to …

Billing Manual – Nevada Medicaid

www.medicaid.nv.gov

Jul 13, 2007 Updated 01/08/2018. Billing Manual pv09/01/2017. 6 evidence that the provider
is complying with all such laws, including the Title VI of the Civil Rights. Act,
Section 504 of the Rehabilitation Act, and the 1975 Age Discrimination Act.
Reporting Fraud or Abuse. Providers have an obligation to report to the …

concurrent resolution on the budget— fiscal year 2018 report …

www.gpo.gov

Jul 24, 2017 FISCAL YEAR 2018. R E P O R T. OF THE. COMMITTEE ON THE BUDGET.
HOUSE OF REPRESENTATIVES. TO ACCOMPANY. H. Con. Res. 71.
ESTABLISHING THE … TOM COLE, Oklahoma. TOM MCCLINTOCK, California
….. Medicaid, the American Health Care Act, and Related Programs …….. 153.

SNAP Administrative Costs – USDA

www.usda.gov

Sep 29, 2016 The 10 county-administered States are California, Colorado, Minnesota, New
Jersey, New York, North Carolina, … Families, or Medicaid. …. models available
State-level data will be included in the FNS Research and Evaluation Plan for. FY
2018. FNS estimates this corrective action will be completed by …

Eliminating Waste in US Health Care – Christiana Care

www.oregon.gov

Mar 14, 2012 though Medicare and Medicaid are of- ten in the … trative complexity, pricing
failures, and fraud and abuse—the sum of the low- est available …. 2018. 2019.
2020. “Business as usual” national health care expenditures. Growth in national
health care expenditures matches. GDP growth. US National Health …

Member Handbook 2017-2018 – Retirement Systems of Alabama

www.rsa-al.gov

Oct 31, 2013 877.288.0719 – available 24 hours/day Fraud Hot Line. 800.824.4391.
Subrogation. 205.220.2744 … San Diego, CA 92131. Customer Service. 877.606.
0727 – available 24 hours/day ….. Premium Assistance under Medicaid and the
Children's Health Insurance Program (CHIP) …………..67. Forms .

Home health care services – Medicare Payment Advisory Commission

www.medpac.gov

The Congress should reduce home health payment rates by 5 percent in 2018
and implement a two-year rebasing of the ….. Source: Home health standard
analytical file 2015; Health Care Financing Review, Medicare and Medicaid
Statistical Supplement 2002. …. prosecutions for home health fraud, most notably
in Detroit.

Opioid Action Plan – Arizona Department of Health Services

www.azdhs.gov

Sep 5, 2017 By June 2018, complete 100% of action items in the Insurance Parity Action Plan.
Engage the federal government ….. leading to fraudulent prescriptions. Require e
-prescribing for Schedule II … Approximately 24 facilities have been excluded
from Medicaid reimbursement for patients requiring inpatient …

FY 2018 Authorization and Budget Request to Congress

www.justice.gov

Feb 28, 2017 Budget Request Summary: The Federal Bureau of Investigation's (FBI's) Fiscal
Year (FY) 2018 ….. On March 14, 2017, the United States District Court for the
Northern District of California unsealed an … federal health benefit programs,
such as Medicare and Medicaid, private insurance programs also.