Report Medicaid Fraud in NY 2018



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Report Medicaid Fraud in NY 2018

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New York State Medicaid Update September 2017 Volume 33 …

www.health.ny.gov

Sep 1, 2017 2018 in advance of meeting the Congressionally-mandated deadline.
Additionally … advance of the October 2017 testing deadline and likewise
anticipates working with its Medicaid managed care ….. result of inaccurate or
improper cost reporting, improper claiming, unacceptable practices, fraud, abuse
or.

Medicaid Update November 2017 Volume 33 Number 11

www.health.ny.gov

Nov 19, 2017 New York State. Department of Health. Jason A. Helgerson. Medicaid Director.
Office of Health Insurance Programs. The Medicaid Update is a monthly …. The
July 2017 Medicaid Update advised providers that in accordance with the 2017-
2018 state budget, …. reporting of Medicaid overpayments;. • A new …

New York State Department of Health Medicaid Update August 2017 …

www.health.ny.gov

Aug 1, 2017 Effective August 24th, 2017, the Medicaid fee-for-service (FFS) program will be
implementing a seven (7) day supply limit on initial opioid prescribing for acute
pain. This is consistent with Public Health Law §. 3331(5), as amended in 2016,
which prohibits a practitioner from prescribing more than a 7-day …

April 2017 – New York State Department of Health

www.health.ny.gov

Apr 1, 2017 Effective July 1, 2017, in accordance with the 2017-2018 enacted State budget,
New York State (NYS) Medicaid is changing the … providers (PCPs) who seek to
achieve PCMH recognition and provide high quality of care to NYS Medicaid
enrollees. ….. Responses to abuse and addiction; and. 8. End-of-life …

DOH Medicaid Update – New York State Department of Health

www.health.ny.gov

May 13, 2017 Medicaid Managed Care Plans (MMCP), HIV Special Needs Plans (HIV SNP)
and Health and Recovery Plans. (HARP). … The process established for
reimbursing Plans for incurred costs following the issuance of a Final Audit
Report where duplicate or ….. Responses to abuse and addiction; and. 8.

Medicaid Update – New York State Department of Health

www.health.ny.gov

Oct 13, 2017 to the full Medicaid benefit package, HIV SNPs cover enhanced HIV services,
care coordination, and behavioral …… Year 2018. • Modifying the 2017 Clinical
Quality Measure (CQM) reporting period for EPs from a full year to be a minimum
90-day period. • Reducing the number of CQMs that EPs must …

New York State Medicaid Update Volume 33 Number 3

www.health.ny.gov

Mar 16, 2017 This policy is part of an ongoing effort to reform New York State (NYS) Medicaid
and to ensure the … volume threshold and Medicaid patients who require breast
cancer surgery should be directed to those providers. …. Before March 25, 2018,
the Commissioner of Health will determine whether the software …

Medicaid Fraud Control Units Fiscal Year 2014 Annual Report (OEI …

oig.hhs.gov

Apr 3, 2015 This Medicaid Fraud Control Unit (MFCU or Unit) Fiscal Year (FY) 2014 Annual
Report highlights … The National. Association of Medicaid Fraud Control Units (
NAMFCU) facilitates the settlement of global …. timesheets. For example, the
New York MFCU investigated a certified nursing aide who falsely.

budget and policy brief – New York City Comptroller – NYC.gov

comptroller.nyc.gov

The New York City Department of Education (DOE) failed to recoup a cumulative
$356 million in federal Medicaid dollars for eligible special education services
between Fiscal Years 2012 and 2014, forcing … FY 2015 budget reflects
downward Medicaid adjustments for fiscal years 2015 – 2018 of a cumulative
$310 million …

Report to Congress on Medicaid and CHIP – macpac

www.macpac.gov

Jun 8, 2016 The Medicaid and CHIP Payment and Access Commission (MACPAC) is a non-
partisan legislative branch agency that provides policy …. Term Expires April
2018. Gustavo Cruz, DMD, MPH. Health Equity Initiative. New York, NY. Leanna
George. Beneficiary Representative. Benson, NC. Marsha Gold, ScD.

Congressional Task Force on Economic Growth in Puerto Rico

www.finance.senate.gov

Dec 20, 2016 On June 30, 2016, the Puerto Rico Oversight, Management, and Economic
Stability Act, or. “PROMESA,” was enacted into law as Public Law 114-187.
Section 409 of PROMESA established an eight-member “Congressional Task
Force on Economic Growth in Puerto Rico”. (“Task Force”). In July 2016, in …

Yellow Book – New York State Assembly

nyassembly.gov

Jan 13, 2016 General Fund GAP-Closing Plan. ($ in Millions). Prior to the recommendations of
the Executive Budget, the forecast for out-year budget gaps in the. Mid-Year
report were calculated at $1.8 billion for SFY 2016-17, $2.8 billion for SFY 2017-
18,. $4.4 billion for SFY 2018-19, and $4.2 billion for SFY 2019-20.

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 …. been instructed to report all "for cause" Medicaid
terminations, as defined in the 2012 guidance, for which state appeal ….
Medicaid program integrity for the FY 2014-2018 period. 8. The current CMIP was
 …

AFR 2016 Cover II.qxp_Layout 1, FY 2016 Agency Financial Report

www.justice.gov

Nov 11, 2016 Strategic Plan for FYs 2014-2018 is available electronically at http://www.justice.
gov/jmd/strategic-plan- fiscal-years-2014-2018. The Strategic Plan includes three
strategic goals and related objectives, which are referred to throughout this report
. Organization of the Report. Message from the Attorney …

CT State Plan on Aging FY 2018-2020 – CT.gov

www.ct.gov

Oct 1, 2017 Connecticut State Department on Aging's 2018-2020 State Plan on Aging,
entitled “Growing …. by SDA, including State Health Insurance Program, Senior
Medicare Patrol, Aging and. Disability Resources …. Commission on Aging,
Study of Best Practices for Reporting and Identification of Abuse,. Neglect …

Fraud Annual Report – Ohio BWC – Ohio.gov

www.bwc.ohio.gov

Aug 24, 2017 the Pill Mill Coordination team for the Ohio Attorney General's Medicaid Fraud
Control. Unit. Outreach … fraud team. • Our safety violations investigation unit (
SVIU) includes team members located throughout the state who investigate
potential violations of … Delaware State Police, the New York State Police.

Eliminating Waste in US Health Care – Christiana Care

www.oregon.gov

Mar 14, 2012 of the gross domestic product (GDP) in 2011, headed for 20% by 2020,1,2 the
nation's increasing health care expen- ditures reduce the resources available for
other worthy government pro- grams, erode wages, and undermine the
competitiveness of US industry. Al- though Medicare and Medicaid are of-.

Medicare & You 2018Medicare.gov

www.medicare.gov

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) …..
Fraud 91, 114–116. G. Gap (coverage). See Coverage Gap. General Enrollment
Period 22, 27, 75, 84. Glaucoma test 46. H. Health Insurance Marketplace 23.