Arkansas Medicaid Fraud Control Unit: 2019 onsite inspection

Arkansas Medicaid Fraud Control Unit: 2019 onsite inspection

Collection:
Health Policy and Services Research
Series Title(s):
Report in brief (United States. Department of Health and Human Services. Office of Inspector General)
Contributor(s):
United States. Department of Health and Human Services. Office of Inspector General. Office of Evaluation and Inspections, issuing body.
Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2020
Language(s):
English
Format:
Text
Subject(s):
Forms and Records Control -- standards
Fraud -- legislation & jurisprudence
Government Regulation
Medicaid -- legislation & jurisprudence
Arkansas
United States
United States. Department of Health and Human Services
Genre(s):
Technical Report
Abstract:
What OIG Found. We found that the Arkansas Medicaid Fraud Control Unit (MFCU or Unit) generally operated in accordance with applicable laws, regulations, and policy transmittals during Federal fiscal years (FYs) 2016–2018 but did not always comply with Federal regulations regarding its fiscal controls. We made two additional findings involving the Unit’s adherence to the performance standards: (1) The Unit did not regularly communicate and worked few joint cases with OIG’s Office of Investigations during our review period. (2) Although the Unit had procedures for reporting convictions and adverse actions to Federal partners, the Unit did not always report them within the appropriate timeframes. We also identified a beneficial practice that may be useful as a model to other Units. (1) The Unit director designated Unit investigators as subject matter experts of specific provider types for efficient assignment and improved investigation of cases. What OIG Recommends and How the Unit Responded. To address the three findings, we recommend that the Arkansas Unit: (1) strengthen its fiscal controls in the four areas the report identified; (2) take steps to improve its communication and seek more opportunities to investigate joint cases with OIG’s Office of Investigations; and (3) take steps to ensure that its staff reports all convictions and adverse actions to Federal partners within the appropriate timeframes. The Unit concurred with all three recommendations.
Copyright:
The National Library of Medicine believes this item to be in the public domain. (More information)
Extent:
1 online resource (1 PDF file (24 pages))
Illustrations:
Illustrations
NLM Unique ID:
9918282481206676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918282481206676