Reporting Medicaid Fraud in Texas 2018

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Reporting Medicaid Fraud in Texas 2018

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Apr 2, 2017 Fiscal Years 2017 – 2018. April 2017 …. sampling and overpayment estimation
described in the Centers for Medicaid and Medicare Services Program. Integrity
Manual. …. 7 The public are encouraged to report suspected fraud, waste, or
abuse by recipients or providers in Texas HHS programs by calling …

FY 2016 Annual ReportTexas OIG –

meritorious investigations. The MPI team also developed unprecedented
collaboration with other investigative agencies such as the Department of. Justice
, the Texas Attorney General's Medicaid. Fraud Control Unit, the AG's civil
medicaid fraud division, CMS, the federal Department of Health and Human
Services OIG, and …

2018 TVFC and ASN Provider Manual – Texas Department of State …

The Texas Department of State Health Services (DSHS). Immunization Unit has
prepared the Texas Vaccines for. Children (TVFC) Provider Manual. Consultation
on the policies in this manual are conducted routinely with the Centers for.
Disease Control and Prevention (CDC), the Center for Medicare and Medicaid …

legislative appropriations request for fiscal years 2018 and 2019

Aug 26, 2016 As the Medicaid population increases, so does the likelihood for waste, fraud,
and abuse. The Medicaid Fraud Control Unit (MFCU) is the only state law
enforcement agency dedicated solely to Medicaid fraud prevention with three-
fourths (75%) of its funding deriving from the federal government. In FY 2015 …

Texas Made Incorrect Medicaid Electronic Health … – OIG .HHS .gov

These evaluations focus on preventing fraud, waste, or abuse and promoting
economy, efficiency, and effectiveness of … Texas Made Incorrect Medicaid
Electronic Health Record Incentive Payments (A-06-13-00047) …. the cost reports
that were used to calculate incentive payments or use the correct cost report

HHS OIG Work Plan Fall 2017 – OIG .HHS .gov

Nov 15, 2016 operations. OCIG represents OIG in all civil and administrative fraud and abuse
cases involving HHS programs, …. NEW: Power Mobility Devices Equipment –
Portfolio Report on Medicare Part B Payments … COMPLETED: Medicaid Fraud
Control Units Fiscal Year 2015 Annual Report (OEI-07-16-00050) –.

State Comparison/Summary Report FFY 2016 –

On February 23, 2017, the Centers for Medicare & Medicaid Services (CMS) sent
the FFY 2016. Medicaid DUR … Program in which the state identifies potential
fraud or misuse of controlled drugs by a beneficiary. Lock-In …. However, states
and MCOs are required to submit an annual report for the FFY 2018 DUR
reporting …

MLN Catalog –

Dec 1, 2017 We are pleased to share the December 2017 Medicare Learning Network® (MLN
) Catalog with you. MLN is part of an … The MLN Catalog contains brief
descriptions of offerings from the Medicare Learning Network, organized by
product format …. and where to report suspected fraud and abuse. 20 pages …


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 ….. Symposium, Specialized Skills and
Techniques in Medicaid Fraud Detection, Managed. Care Oversight …

Medicare & You

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.

newsletter – DHS Division of Aging and Adult Services

detect, and report health care fraud, errors, and abuse through outreach,
counseling, and education. SMPs are … $10.8 billion in fraud. Many of these
charges have resulted from coordinated, multi-district national takedowns. In
June 2016, the. Medicare Fraud Strike Force …. received, some starting as soon
as April 2018.

Testimony of Shantanu Agrawal, CMS, Hearing on "Medicaid

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

Health Insurance Market Overview – Centers for Disease Control …

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.


Dec 14, 2015 OIG also works with the MFCUs to identify not only patient abuse cases but all
Medicaid fraud … When an FCA settlement resolves allegations of fraud that
impact the quality of patient …. For purposes of calculating an incidence rate for
our report, we defined “adverse events” as events that resulted in.

Benefits & Services for Arkansas Seniors Division of Aging and Adult …

The Arkansas Senior Medicare Patrol recruits and trains senior volunteers to
educate Arkansans about Medicare … 866.726.2916 – for reporting suspected
Medicare and Medicaid fraud, waste and abuse. The ….. Income Limit: $2,205.00
per month (Effective January 2017 and may increase in January 2018). • Only the

Transit Operators Semi-Annual Business Meeting – the Texas

Jan 25, 2017 5. eGrants. (Consultation meetings: 10:30-11:30 A.M. and 1:00-1:30 P.M. in
Room 1A.2 next door). 10:00 A.M.. Break (15 minutes). 6. TTI – Medicaid. 7. …
Public Transportation Division. TRANSIT ASSOCIATION. REPORT – PTAC.
TxDOT Semi-Annual Transit Operators Business Meeting. January 25, 2017 …

2017-2018 Edition – The New York State Senate

2017-2018 Edition. Advocacy. Caregiving. Community Boards. Computer
Training. Consumer Protection. Continuing Education. Cultural & Recreational
….. caregivers and professionals who have Medicare questions or problems.
Trained hotline counselors respond to questions about available health plan
options, rights …

MLTSS – The National Landscape

Oct 4, 2016 Medicaid HCBS regulations. •DOL regulations. Encouraging. Health &. Wellness
. •Oral Health. Supporting. Consumer. Access. •I&R Support. Center. •MIPPA
Resource … Released final report recommending domains of measurement and
promising … create a new MLTSS program in 2018. Page 13.