Medicaid Integrity Program 2018



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Medicaid Integrity Program 2018

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MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR

www.justice.gov

May 8-10, 2018. Coding for Non-Coders. May 22-24, 2018. HCPro's Certified
Coder Boot Camp—Inpatient Version. June 4-8, 2018. Managed Care Oversight
Seminar. June 19-21, 2018. Specialized Skills and Techniques in Medicaid
Fraud Detection. July 10-12, 2018. Program Integrity Partnership in Managed
Care …

Medicaid Provider Enrollment Compendium (MPEC) – Medicaid.gov

www.medicaid.gov

Jun 23, 2017 Message to providers: If you are a provider seeking to enroll to provide services
to Medicaid or. Children's Health Insurance Program (CHIP) beneficiaries, these
programs are administered by individual states. You'll need to enroll in each state
for which you would like to provide services to that state's …

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

www.cms.gov

Jul 1, 2014 Section 1936(d) of the Social Security Act directs the Secretary of Health and
Human Services. (HHS) to establish, on a recurring 5-fiscal year basis, a
comprehensive plan for ensuring the integrity of the Medicaid program by
combatting fraud, waste, and abuse. This Comprehensive. Medicaid Integrity
Plan …

GAO-17-277, MEDICAID PROGRAM INTEGRITY: CMS Should Build …

www.gao.gov

Mar 15, 2017 MEDICAID. PROGRAM. INTEGRITY. CMS Should Build on. Current Oversight.
Efforts by Further. Enhancing. Collaboration with. States. Report to the Chairman,
Committee on. Finance, U.S. Senate. March 2017 ….. one covered fiscal years
2009 to 2013, and one covered fiscal years 2014 to 2018. See.

Checking Federal Databases to Verify Provider Identity … – CMS.gov

www.cms.gov

increased the number of databases State Medicaid agencies (SMAs) must check
when a provider applies to participate in … will phase in these requirements for
managed care providers by July 1, 2018.[7] Providers and … Toolkit that will be
posted to the Medicaid Program Integrity Education page at https://www.cms.gov/.

Medicaid Oversight: Existing Problems and Ways to Strengthen the …

oig.hhs.gov

Jan 31, 2017 The Office of Inspector General's Strategy for Medicaid Oversight. OIG advances
its core mission of protecting the integrity of HHS programs, including Medicaid,
and the people they serve by working to prevent and detect fraud, waste, and
abuse. OIG offers recommendations to improve program integrity …

Testimony of Shantanu Agrawal, CMS, Hearing on "Medicaid

democrats-energycommerce.house.gov

Jun 2, 2015 Medicaid Program Integrity: Screening Out Errors, Fraud and Abuse”. House
Committee on Energy and … This Federal-State partnership is central to the
success of the Medicaid program, and it depends on clear lines of …. Medicaid
program integrity for the FY 2014-2018 period. 8. The current CMIP was …

Report to Congress on Medicaid and CHIP June 2017 – macpac

www.macpac.gov

MCOs, state oversight of MCO program integrity activities, and the extent to which
states and. MCOs work together to … CHAPTER 3: Program. Integrity in Medicaid.
Managed Care. From its earliest reports, MACPAC has focused repeatedly on
program integrity in Medicaid and the ….. providers (beginning in January 2018);.

A New Foundation For American Greatness – Whitehouse.gov

www.whitehouse.gov

May 23, 2017 www.budget.gov/budget/Analytical_Perspectives and on the Budget CD-ROM.
These supplemental materials in- clude tables showing the budget by agency
and account and by function, subfunction, and program. Appendix, Budget of the
United States. Government, Fiscal Year 2018 contains detailed in-.

Provider Enrollment & You – dhcfp

dhcfp.nv.gov

Jan 1, 2018 The Front Line of Program Integrity. Page 2. ▻ The process of enrolling providers
in the. Medicaid program to provide services to. Medicaid recipients. ▻ Prevent
Fraud, Waste and Abuse. ▻ Application and contract required for: ◦ Initial
Enrollment. ◦ Revalidation. ◦ Re-enrollment. ◦ Change of Ownership.

Delaware Medical Assistance Program

medicaidpublications.dhss.delaware.gov

Program Integrity See Technical. Denial. Pharmacy Corner See Preferred … (
MCO) for Delaware Medicaid on January 1, 2018. Many of you may be in the
process of or … The Electronic Health Record (EHR) Incentive Payment
Program's Medical Assistance Provider Incentive Repository. (MAPIR) portal is
open for program …

FY 2018 Budget Overview – Social Security

www.ssa.gov

May 23, 2017 With the program integrity cap adjustments in the FY 2018 President's Budget, we
would eliminate the backlog of continuing disability reviews by the end of FY
2018 and remain current with program integrity workloads. In addition …. In FY
2018, we will assist the Centers for Medicare and Medicaid Services.

January 3, 2018 Seema Verma, MPH Administrator Centers for …

www.medpac.gov

January 3, 2018. Seema Verma, MPH. Administrator. Centers for Medicare &
Medicaid Services. Department of Health and Human Services. 200
Independence Avenue, SW … Advantage program (Part C) and the Prescription
Drug Benefit program (Part D). Our comments focus on ….. complete or otherwise
lack integrity.

November 2017 – Alaska Department of Health and Social Services

dhss.alaska.gov

Nov 1, 2017 The Program Integrity Office has statewide responsibility of management and
oversight of … Medicaid Integrity Program audits, contact and referral process for
Department of Law,. Medicaid Fraud Control Unit ….. Currently the case is set for
trial sometime at the beginning of 2018, and the MFCU was able to …

Nebraska Medicaid Recovery Audit Contractors Annual Report

dhhs.ne.gov

Dec 1, 2015 State Capitol, Room 2018. P.O. Box 94604. Lincoln, NE 68509 … As outlined in
this report, the contract with a Recovery Audit Contractor (RAC) is mandated by
federal requirements and … and national conferences. The Nebraska Medicaid
Program Integrity Recovery Audit Contractors (RAC) (available at.

Medicaid Managed Care, CHIP… – US Government Publishing Office

www.gpo.gov

May 6, 2016 Program Integrity d. Sanctions e. Deferral and/or Disallowance of FFP for. Non-
compliance With Federal Standards f. Exclusion of Entities. 5. …. comply with
these requirements no later than the rating period for Medicaid managed care
contracts starting on or after July 1, 2018. States must be in compliance …

PROVIDER BULLETIN 2017 Year-End Roundup – Mississippi …

medicaid.ms.gov

Dec 4, 2017 December 2017. 1. MS Medicaid. PROVIDER BULLETIN. 2017 Year-End
Roundup. With 2018 just around the corner, it is a good time to take stock of the
many … million for the current year, FY 2018, which began on July 1. The point I
…. www.medicaid.gov/medicaid/programintegrity/ncci/ index.html.

Medicaid Overpayments – Connecticut General Assembly – CT.gov

www.cga.ct.gov

Nov 1, 2017 Medicaid providers. You also requested information on Medicaid overpayments
identified by DSS over the past five years, specifically the: 1) number of
overpayment cases; 2) total … The information presented below is derived from
joint reports on Medicaid program integrity … legislature in January 2018.