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HHS Office of Inspector General Reports and Information

Fraud Prevention and Detection

Safe Harbor Regulations
Advisory Opinions
Fraud Alerts, Bulletins, and Other Guidance
Open Letters

Reports
Publications

Fraud Prevention and Detection

• OIG Redefines Provider Self-Disclosure Protocol to Report Medicaid Fraud
  • April 15th Press Release: OIG Refines Self-Disclosure Protocol
  • April 15th Open Letter to Providers

Safe Harbor Regulations

• HHS Review of Indiana Medicaid Rehabilitation Option Program Finds Overpayments of $23 million (October 17, 2008)

Advisory Opinions

• OIG: Medicaid-Funded Personal Care Services in Excess of 24 Hours per Day in MN, NM, NC, TX, WA (October 24, 2008)
• OIG: Review of Non-Emergency Transportation Services Provided in DC (October 24, 2008)

Fraud Alerts, Bulletins, and Other Guidance

• OIG: Ohio Overpaid Medicaid Providers $18 Million for Long-Term Care from 1998-2005 (October 31, 2008)

Open Letters

Reports

• OIG: Review of Connecticut's Community Based Medicaid Administrative Claim for State Fiscal Year 2004 (February 18, 2009)
• OIG: CMS Has Not Acted on Audit Recommendations that Could Save Over $1 Billion (November 19, 2008)
• OIG: Illinois HCBS Program Overcharged Feds $35,000 from 2004-2005 (October 22, 2008)
• OIG Report Finds State Medicaid Agencies Fail to Notify Feds When They Sanction Provider (August 14, 2008)
• Review of CMS’ Medicaid Information Technology Audit Resolution Process (July 9, 2008)
• Medicaid Fraud Units Responsible for $1.1 Billion in Recoveries, and 1,200 Criminal Convictions in FY 2007 (June 24, 2008)
• OIG Finds Maine Overpaid $1.6 Million in Medicaid to Nursing Home Over Three Years (June 17, 2008)
• OIG Projects Georgia Paid $4.3 million for Medicaid Beneficiaries Eligible in Florida (June 4, 2008)
• Medicaid Payments for Services Provided to Beneficiaries with Concurrent Eligibility in Two States During August 2003 (May 21, 2008)
• Duplicate Medicaid and Medicare Home Health Payments: Medical Supplies and Therapeutic Services (May 13, 2008)

Publications