Reporting Medi Cal Fraud 2018



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Reporting Medi Cal Fraud 2018

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MEDICAL DRUG USE REVIEW (DUR) BOARD State of California …

files.medi-cal.ca.gov

May 16, 2017 Training Rooms A+B. Sacramento, CA 95814. MediCal Drug Use Review Board.
Meeting Agenda. May 16, 2017. 9:30 AM-12:30 PM. Report. Type*. Agenda Item
… Proposed DUR Board Meeting Dates for 2017/2018: …… Do you have a
documented process in place that identifies potential fraud or abuse.

Department of Health Care Services – California Department of …

www.dhcs.ca.gov

Nov 14, 2017 The purpose of this All Plan Letter (APL) is to inform MediCal managed care
health … by January 1, 2018. BACKGROUND: On February 2, 2011, CMS issued
rulemaking CMS-6028-FC4 to enhance fee-for- service (FFS) provider enrollment
screening requirements …. allegation(s) of fraud, waste, or abuse.

California Department of Health Care Services Strategic Plan 2013 …

www.dhcs.ca.gov

Strategic Plan 2013-2018. 2015 Update … When we embarked on our strategic
plan, we administered health care services for 8.5 million MediCal members. …
With the federal approval of our new Drug MediCal Organized Delivery System
waiver, DHCS can begin working with counties and health plans to take the old …

MEDICAL DRUG USE REVIEW (DUR) BOARD State of California …

files.medi-cal.ca.gov

Sep 19, 2017 Codeine/Tramadol Age Restrictions ii. Opioid Quantity Limits Policy Change iii.
Triptan Quantity Limits Policy Change iv. DHCS $90M Grant to Fight Opioid Crisis
v. Academic Detailing Conference: October 12, 2017 vi. Child/Adult Core Set –
CMS Report vii. Review of FFY 2018 DUR Annual Report to CMS.

Legislative Update – The Medical Board of California – State of …

www.mbc.ca.gov

The mission of the Medical Board of California is to protect health care
consumers through proper licensing and regulation of physicians and surgeons
… This bill also requests the UC to prepare a report for the. Board and Legislature
on or before January 1, 2018, which would include the number of participants in
the pilot …

MEDICAL DRUG USE REVIEW (DUR) BOARD State of California …

files.medi-cal.ca.gov

Feb 21, 2017 State of California. DEPARTMENT OF HEALTH CARE SERVICES. Notice is
hereby given that the MediCal DUR Board will conduct a public meeting on
Tuesday ….. 2018 CMS DUR Annual Report Planning Committee – Ms. Chan
reported that …… possible fraud or abuse of controlled drugs by prescribers.

2017 Medicare Trustees Report – CMS.gov

www.cms.gov

Jul 13, 2017 We have the honor of transmitting to you the 2017 Annual Report of the Boards of
Trustees of the. Federal Hospital Insurance Trust Fund and the Federal
Supplementary Medical Insurance Trust. Fund, the 52nd such report. ….. fraud
and abuse, and initiating a major program of research and development to …

Combating Medicare Parts C and D Fraud, Waste, and … – CMS.gov

www.cms.gov

Combating Fraud, Waste, and Abuse in Medicare Parts C and D with Compliance
Training. Medicare Learning Network®. 2. TITLE. TITLE ….. standards. Protected:
Persons who report false claims or bring legal actions to recover money paid on
false claims are protected from retaliation. Rewarded: Persons who bring a …

GAO-18-88, MEDICARE AND MEDICAID: CMS Needs to Fully Align …

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. December
2017. GAO-18-88. United States Government Accountability Office …

Opioid Overdose Epidemic Response Report September 2017

www.azdhs.gov

Sep 5, 2017 By September 2018, complete 100% of action items in the Medical School.
Curriculum Action Plan … The Arizona Department of Health Services (ADHS)
released the 2016 Arizona Opioid Report on June 1,. 2017. This report revealed
that in …. leading to fraudulent prescriptions. Require e-prescribing for …

Report on Emergency Medical Services Dec 2016 – Texas …

www.dshs.texas.gov

and Medicaid programs. • Included a number of provisions relating to the process
for applicants to become licensed providers in Texas. More specifically, S.B. 8
addressed fraud in the EMS industry by placing more stringent requirements on
applicants. It placed a temporary moratorium on the issuance of new EMS
provider …

Home health care services (March 2017 report) – Medicare Payment …

www.medpac.gov

The Congress should reduce home health payment rates by 5 percent in 2018
and implement a two-year rebasing of the payment … Report to the Congress:
Medicare Payment Policy | March 2017. Home health care services. Chapter …..
prosecutions for home health fraud, most notably in Detroit and Miami. However,
the …

Anti-Fraud Report as Required by the Bipartisan … – Social Security

www.ssa.gov

FY 2018 Congressional Justification. Currently, we do not have the data
necessary to report on the following: ▫ Cases of fraud identified by
redeterminations, medical and work-related CDRs, including the resulting
savings of each; and. ▫ Number of work-related CDRs in which a beneficiary
improperly reported earnings for …

Form W-9 – IRS.gov

www.irs.gov

Service (IRS) that I am subject to backup withholding as a result of a failure to
report all interest or dividends, or (c) the IRS has notified me that I am no longer
subject to … you have failed to report all interest and dividends on your tax return.
For real ….. that provide medical or health care services are not exempt with
respect.

Health Insurance Market Overview – Centers for Disease Control …

www.cdc.gov

Aug 15, 2013 reporting requirements. Health Care. Choice Compacts. (2016). Excise Tax: $8.0
B in 2014 -. $14.3B 2018. Medicare Adv. Payment Changes. / quality bonus.
Medicaid. Expansion. Cadillac Tax. (2018). 2011. 2012. 2013. 2014. 2015. Early
Groundwork. 2010 – 2013. Market Transition. 2014. New Status Quo.

2017-2018 Application and Verification Guide Chapter 5 … – IFAP

ifap.ed.gov

elementary or secondary school tuition, medical or dental or nursing home
expenses not covered by insurance, … information, reporting cases of fraud, and
determining a student to be an unaccompanied homeless youth. Special …
Application and Verification Guide 2017–2018. Glossary CFR DCL. FSA HB May
2017.

Fraud Prevention – City of San Diego

www.sandiego.gov

Oct 6, 2017 Mail Fraud. Marijuana Stocks. Medicare Enrollment Fraud. Medicare and Medi
Cal Services Fraud. Moving Scams. Obamacare. Pension Advances. Post-
Foreclosure Solicitations … If you live in San Diego and lose money in any of
these scams, report it to the SDPD on its non- emergency number, (619) …

ACT No. 420 – Louisiana State Legislature

www.legis.la.gov

create a task force on coordination of Medicaid fraud detection and prevention. 6
… authorize appropriation of monies in the Medical Assistance Programs Fraud. 8
…. Reporting. 16. A. On or before January 1, 2018, and semiannually thereafter,
the task force. 17 shall prepare and submit to the governor and the legislature a …