Recent Cases of Medicaid Fraud 2018



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Recent Cases of Medicaid Fraud 2018

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CMS Needs to Fully Align Its Antifraud Efforts with the Fraud … – GAO

www.gao.gov

Dec 5, 2017 MEDICARE AND. MEDICAID. CMS Needs to Fully. Align Its Antifraud. Efforts with
the Fraud. Risk Framework. Report to Congressional Addressees …. Every year,
the federal government investigates hundreds of fraud cases involving …..
providers being unaware of recent policy changes on one end of the.

CMS Should Build on Current Oversight Efforts by Further … – GAO

www.gao.gov

Mar 15, 2017 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' ….. Symposium, Specialized Skills and
Techniques in Medicaid Fraud Detection, Managed. Care Oversight Seminar,
and …

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 … Today, I would like to focus on recent challenges facing Medicaid
and ways we believe States,. CMS, and … disturbingly high number of cases of
fraud and abuse by Medicaid personal care services providers.

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.

here

www.grassley.senate.gov

Dec 14, 2015 OIG closed 41 cases from 2011 to 2015 relating to patient abuse and neglect in
skilled nursing facilities (SNFs) … 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.

CMCS Informational Bulletin – Medicaid.gov

www.medicaid.gov

Dec 13, 2016 other institutional care.2 To continue this progress, CMS and states have moved
forward with implementing recent regulations requiring greater community
integration3 and adopting key improvements to managed LTSS4. Like other
HCBS services, personal care services (PCS) are intended to enable …

MEDICAID INTEGRITY INSTITUTE FY-17 TRAINING CALENDAR

www.justice.gov

Jul 26, 2017 Basic Skills and Techniques in Medicaid Fraud Detection Program. November 15
-17 … review, ongoing analysis and data collection, referral decision-making, and
creation of case action plans. … at the MII to assess current knowledge of
Program Integrity concepts and a post-test at the end of the course to.

OFFICE OF MEDICAID INSPECTOR GENERAL

www.dfa.arkansas.gov

This mission is achieved through auditing Medicaid providers and medical
assistance program functions; recovering improperly expended funds; and
referring appropriate cases for criminal prosecution. OMIG works closely with
providers and the medical assistance program to prevent fraud, waste, and
abuse. Prior to 2013 …

A New Foundation For American Greatness – The White House

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 … baseline or
current services estimates; and other techni- cal presentations. The Analytical
Perspectives volume ….. Additionally, Medicaid, which inadequately serves …

FY 2018 Budget Overview – Social Security

www.ssa.gov

May 23, 2017 continuing disability reviews by the end of FY 2018 and remain current with
program integrity workloads. …. In FY 2018, we will assist the Centers for
Medicare and Medicaid Services in removing the SSN from ….. Special Assistant
United States Attorneys prosecute cases of alleged Social Security fraud. We.

medicaid redesign implementation – Alaska State Legislature

www.akleg.gov

Mar 2, 2017 4. MEDICAID REDESIGN. SB74 Savings Measures (UGF). FY2017. FY2018.
FY2019. FY2020. FY2021. FY2022. Federal Tribal Claiming. Policy. ($32,060.5)
Fraud and Abuse. Prevention. ($401.9). ($556.2). ($543.7). ($481.2). ($468.7).
($456.2). Coordinated Care. Demonstration Project. $4.8. $42.6.

Executive Budget – Governor's Finance Office – State of Nevada

budget.nv.gov

1037 AG – MEDICAID FRAUD. 142. 1038 AG – CONSUMER ADVOCATE. 146.
1040 AG – GRANTS UNIT. 151. 1041 AG – COUNCIL FOR PROSECUTING
ATTORNEYS. 157. 1042 AG – VICTIMS OF DOMESTIC VIOLENCE. 161. 1043
AG – FORFEITURE. 165. 1348 AG – ATTORNEY GENERAL TORT CLAIM FUND.
167.

Washington State Health Care Authority – Office of Financial …

ofm.wa.gov

efforts to integrate clinical models of physical and behavioral health care, savings
assumed in the current budget will not be realized this … Fund-Medicaid). 8.
Nurse Case Managers. Funding is provided to hire nurse case managers to
coordinate medically assisted treatment and movement to health homes for those
being …

FY 2016 Annual Report – Texas OIG – Texas.gov

oig.hhsc.texas.gov

care fraud. Further, the IG training staff has been significantly strengthened,
fulfilling an important goal identified in the Sunset Report. Stakeholder outreach.
Inspector General … This current report is the fifth comprehensive review
released since Mr. … enormous Medicaid provider case backlog and massively
reducing the …

Health Status Update: Fentanyl Abuse in Utah and Risks … – Utah.gov

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 …

The Montana Medicaid Program: Report to the 2017 … – DPHHS

dphhs.mt.gov

Jan 9, 2017 Montana Medicaid Program Report to the 2017 Legislature, as is required by 53-
6-110 Montana. Code Annotated. This report ….. at any given time. CMS
approved this waiver on May 30,. 2012. In 2015, 1,884 women were served at a
cost of $1,014,111. This waiver will be renewed in. January 2018. 14 …

newsletter – DHS Division of Aging and Adult Services

www.daas.ar.gov

settlements and judgments from civil cases involving fraud and false claims
against federal health care programs such as Medicare and. Medicaid. Other
steps the administration has taken to fight fraud include: State-of-the-Art Fraud
Detection. Technology: HCFAC funding also supported HHS OIG's continued
enhancement …

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 …