Reporting Medicaid Fraud in Virginia 2018



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Reporting Medicaid Fraud in Virginia 2018

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Medallion 4.0 RFP 2017-03 – DMAS – Commonwealth of Virginia

www.dmas.virginia.gov

Jul 17, 2017 DMAS will implement the new MEDALLION 4.0 Program on a regional basis
beginning in August 2018. ….. To learn more about the services and people
covered by Virginia refer to the 2016 Virginia Medicaid and …. The report outlined
35 recommendations to manage spending in the programs. AC.

RFP 2017-05 – DMAS – Commonwealth of Virginia

www.dmas.virginia.gov

Jun 19, 2017 REPORTING AND DELIVERY REQUIREMENTS … The Virginia Medicaid
program relies on both managed care organizations (MCO) and fee-for-service
….. January 1, 2018. 6.2. Issuing Office. This RFP is issued by the Virginia
Department of Medical Assistance Services (DMAS or the. Department).

CCC Plus MCO Contract January 2018 – DMAS – Commonwealth of …

www.dmas.virginia.gov

Jan 1, 2018 COMMONWEALTH OF VIRGINIA. DEPARTMENT OF MEDICAL ASSISTANCE
SERVICES. COMMONWEALTH COORDINATED CARE PLUS MCO CONTRACT
. FOR MANAGED LONG TERM SERVICES AND SUPPORTS. January 1, 2018
December 31, 2018 …

DMAS Contact Information – Commonwealth of Virginia

www.dmas.virginia.gov

www.virginiamanagedcare.com managedcarehelp@dmas.virginia.gov. Medical
Support. 804-786-8056. Pharmacy Point of Service (POS) Support. Virginia
Medicaid Pharmacy Helpdesk. (24 hours a day x 7 days a week). • POS
Transmission Issues. • Drug service authorizations. • Preferred Drug List (PDL). •
ProDUR and …

GAO-18-63, VA HEALTH CARE: Improved Policies and Oversight …

www.gao.gov

Nov 15, 2017 VA HEALTH CARE. Improved Policies and Oversight Needed for. Reviewing and
Reporting Providers for Quality and. Safety Concerns. What GAO Found.
Department of Veterans Affairs (VA) medical center (VAMC) officials are
responsible for reviewing the clinical care delivered by their privileged.

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

Review of Claims Processing Actions at Pension … – Veterans Affairs

www.va.gov

Nov 1, 2017 Under Secretary for Benefits. VA. Department of Veterans Affairs. VARO.
Veterans Affairs Regional Office. VBA. Veterans Benefits Administration … To
report suspected wrongdoing in VA programs and operations, … benefits and (2)
claims processing actions related to Medicaid-covered nursing homes.

2015 Medicaid and CHIP Improper Payments Report – CMS.gov

www.cms.gov

For purposes of this report, correct payments are considered total Medicaid/CHIP
payments minus payments considered an improper payment as identified
through PERM. Please … that instances of fraud or other problems not discerned
during the PERM review could still be present. …. has been suspended through
2018.

Your 2017 Guide to Medicaid – West Virginia Department of Health …

www.dhhr.wv.gov

Your 2017 Guide to. Medicaid. A program administered by the West Virginia.
Department of Health and Human Resources … This booklet provides you with a
brief overview of the West Virginia Medicaid Program and the services available
to you. ….. anytime, you may report this to your county DHHR office or by calling …

2017 Instructions for Forms 1094-B and 1095-B – IRS.gov

www.irs.gov

Aug 31, 2017 The following government-sponsored programs are minimum essential coverage
. 1. Medicare Part A. 2. Medicaid, except for the following programs: ….. January
2018. Ace sends Tim a Form 1095-B on January. 31, 2018, reporting coverage
for every month in 2017. On. February 1, 2018, Ace cancels Tim's …

Welcome to Medicare 2017 – Medicare.gov

www.medicare.gov

COBRA or U.S. Department of Veterans Affairs (VA) coverage, Medicare
generally will become your primary health insurance. Medicare will pay its part of
the costs for any health care services you get, and then any amount not covered
by Medicare can be submitted to your non-Medicare plan. If you don't keep Part B
, your …

FY 2018 Authorization and Budget Request to Congress

www.justice.gov

Feb 28, 2017 Special Agents in Charge and Assistant Directors in Charge of FBI field offices
report directly to the Director and Deputy Director. Other major FBI facilities
include the FBI Academy, the Engineering Research Facility (ERF), and the. FBI
Laboratory, all at Quantico, Virginia; a fingerprint identification complex …

National Medicare & You Handbook 2018 – CalPERS

www.calpers.ca.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.

concurrent resolution on the budget— fiscal year 2018 report

www.gpo.gov

Jul 24, 2017 FISCAL YEAR 2018. R E P O R T. OF THE. COMMITTEE ON THE BUDGET.
HOUSE OF REPRESENTATIVES. TO ACCOMPANY. H. Con. Res. 71.
ESTABLISHING THE BUDGET … DAVE BRAT, Virginia. GLENN GROTHMAN …..
Medicaid, the American Health Care Act, and Related Programs …….. 153.

OFFICE OF THE ATTORNEY GENERAL FY2018 What We Do: Four …

legislature.vermont.gov

Dec 20, 2016 FY2018. What We Do: Four Core Functions. • ENFORCE laws of the State of
Vermont. • DEFEND State of Vermont laws, policies, employees. • PRODUCE …
Program and fines or penalties for Medicaid Fraud in SFY2016 and. SFY2017 to
date. …. minutes, and interim report to the legislature. • Amicus …

Medicaid's Detailed Response to Navigant's Operational and …

medicaid.ms.gov

Mar 3, 2017 Any attempt to thoroughly assess the operations and performance of the
Mississippi Medicaid program and the agency … Confidentiality: DOM's report
and all attachments are confidential and/or proprietary to DOM, and may ….
demonstrate compliance for the “base” period of SFY 2018 when appropriate.

Division of Enforcement 2017 Annual Report – SEC.gov

www.sec.gov

Nov 15, 2017 U.S. SECURITIES AND EXCHANGE COMMISSION. Division of. Enforcement.
ANNUAL REPORT. A LOOK BACK AT FISCAL YEAR 2017 … Report available
on the Web at www.sec.gov/reports. CONTENTS …. traditionally have affected
retail investors: accounting fraud, sales of unsuitable products and.

Consolidated Appropriations Act, 2017 – Congressional Budget Office

www.cbo.gov

May 1, 2017 fiscal year 2017. Division L provides additional appropriations for fiscal year
2017 within the jurisdiction of the Military Construction, VA subcommittee. ….
section 202(a) would provide access to additional Medicaid funding for Puerto
Rico to establish Medicaid Fraud Control Units (MFCUs). CBO estimates …