Medicaid Fraud in Michigan 2018



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Medicaid Fraud in Michigan 2018

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NOTICE OF PROPOSED POLICY – State of Michigan

www.michigan.gov

1727-HH. Comments. Due: January 25,. 2018. Proposed. Effective Date: March 1
, 2018. Mail Comments to: Ryan Tisdale. Bureau of Medicaid Policy and Health
System Innovation. Medical Services Administration. P.O. Box 30479. Lansing,
Michigan 48909-7979. Telephone Number: 517-373-3995 Fax Number: 517-241
– …

medicaid policy bulletin – State of Michigan

www.michigan.gov

Sep 1, 2016 Billing Medicaid or a Medicaid managed care plan prior to exhausting other
insurance resources may be considered fraud under the Medicaid False Claim
Act if the provider is aware that the beneficiary had other insurance coverage for
the services rendered. This additional language clarifies that Medicaid …

SENATE SUBCOMMITTEE REC. Senate Bill 135 – Michigan

www.legislature.mi.gov

Apr 19, 2017 Other Fund Source Adjustments. Senate reflects numerous fund source shifts,
including a $9.5 million reduction in available Temporary Assistance for Needy
Families (TANF) revenue, $25.3 million additional available Tobacco Settlement
revenue, and a $79.6 million increase in Health Insurance Claims …

MDHHS Presentation on FY 2018 Budget – Michigan House of …

www.house.mi.gov

Feb 15, 2017 201,684 low-income households served by Michigan. Community Action
Agencies. •. 46,107 front-end eligibility fraud investigations conducted. •. 1.7
million total average eligible – traditional Medicaid. •. 1.2 million children served
in Medicaid. •. 380,000 people with disabilities served in Medicaid.

REVISED Summary As Introduced (10/3/2017) – Michigan Legislature

www.legislature.mi.gov

Oct 3, 2017 insurance policies issued or renewed after June 30, 2018. House Bill 5013 would
do … Create the Michigan Automobile Insurance Fraud Authority (MAIFA) within
the. Michigan Automobile … could create increased costs for Medicaid by an
estimated $150 million per year after 10 years. The bill also could …

FY 2017-18 Department of Health and Human Services Summary …

www.house.mi.gov

Apr 19, 2017 medical services programs, including Medicaid and the Healthy Michigan Plan.
NOTE: DETAILED DECISION DOCUMENTS FOR PART 1 AND BOILERPLATE
ARE AVAILABLE AT THE HOUSE FISCAL. AGENCY WEBSITE: http://www.
house.mi.gov/hfa/HealthandHumanServices.asp UNDER "CURRENT …

Semiannual Report – Office of Inspector General – HHS.gov

oig.hhs.gov

Sep 30, 2017 As delineated in OIG's Strategic Plan for 2014-2018, OIG's approach to protecting
the integrity of HHS … combat health care fraud, OIG partners with DOJ; the State
Medicaid Fraud Control Units. (MFCUs or Units); and ….. States and was a Part B
carrier for Illinois, Michigan, Minnesota, and Wisconsin. CMS.

A New Foundation For American Greatness – Whitehouse.gov

www.whitehouse.gov

May 23, 2017 Office of Management and Budget. BUDGET OF THE U. S. GOVERNMENT. A
New Foundation For. American Greatness. Fiscal Year 2018 …… densome
requirements of Obamacare and transition to a health care system focused on
these core values. Reform Medicaid. To realign financial incentives and …

Medicare & You 2018 – Medicare.gov

www.medicare.gov

Medicare. You 2018. This is the official U.S. government. Medicare handbook.
Learn about your new Medicare card. (inside front cover). What Medicare covers
(page 29). CENTERS for MEDICARE & MEDICAID SERVICES …

Social Security Administration Agency Strategic Plan 2014-2018

www.ssa.gov

fraud and abuse. I am very pleased to share our Agency Strategic Plan for Fiscal
Years 2014–2018. Our plan will guide us as we make bold changes in
technology and enhance ….. Medicare and Medicaid program savings. …. our
improved understanding of this MI, we will be able to give better feedback to our
adjudicators.

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 … JACK BERGMAN, Michigan. JOHN J. FASO, New York
….. Medicaid, the American Health Care Act, and Related Programs …….. 153.

Strengthening Medicaid Program Integrity and Closing Loopholes

democrats-energycommerce.house.gov

Sep 11, 2015 States are the first line of defense against Medicaid fraud and improper payments
. More specifically, state program integrity units are the primary governmental
actors bearing initial responsibility for state program compliance with federal
requirements, detecting improper. FRED UPTON, MICHIGAN.

Health Insurance Market Overview – Centers for Disease Control …

www.cdc.gov

Aug 15, 2013 2Government spending for the purposes of this analysis include only that
spending for CMS programs (Medicare, Medicaid, Vetrans and SCHIP). It …
Medicaid. Expansion. Cadillac Tax. (2018). 2011. 2012. 2013. 2014. 2015. Early
Groundwork. 2010 – 2013. Market Transition. 2014. New Status Quo. 2015+.

Clinic Services – SCDHHS.gov

www.scdhhs.gov

Jan 1, 2013 o Referrals to the Medicaid Fraud Control Unit o Updated acronym for U.S.
Department of. Health and Human Services, Office of. Inspector General (HHS-
OIG). 04-01-14. 2. 4. 25. 15. • Updated the following sections to reflect. Medicaid
Bulletin dated December 3, 2013 –. Discontinuation of Edit Correction …

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 …

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.

Free Legal Clinics in VA Facilities – Veterans Affairs

www.va.gov

(Medicaid/medicare), wills, probate, power of attorney forms. Appointments …
Updated January 2018. *Red indicates a VA Medical Legal ….. public benefits;
trusts, wills and estate law; family law; criminal record expunging; driver's license
revocation; consumer law/consumer fraud. No criminal; no veteran's benefits
appeals.

MLTSS – The National Landscape

www.dhhs.nh.gov

Oct 4, 2016 Medicaid HCBS regulations. •DOL regulations. Encouraging. Health &. Wellness
. •Oral Health. Supporting. Consumer. Access. •I&R Support. Center. •MIPPA
Resource …. create a new MLTSS program in 2018. Page 13 … Michigan and
North Carolina both have a statewide, county- based capitated …