Medicaid integrity institute. 1620 Pendleton Street .

Medicaid integrity institute 5 Strengthen Medicaid Data Analytics and Audits 32 4. 682. Medicaid managed care oversight is a critical Page . There is hereby established the Medicaid Integrity Program (in this section referred to as the “Program”) under which the Secretary shall promote the integrity of the program under this subchapter by entering into contracts in accordance with this section with eligible entities, or otherwise, to carry out the activities described in subsection (b). MEDICAID INTEGRITY INSTITUTE (MII) CY2023 TRAINING CALENDAR . Hear from Division Director, Claire Schreiber, as she discusses during a recent webinar the Center’s important mission to achieve equitable outcomes through high quality, affordable, person-centered care and shares her professional journey with CMS. Upon determining there is a credible allegation of fraud, the SUR Unit refers the matter to the State's Medicaid Fraud Control Unit of the Attorney General's Office for criminal investigation. • As of April 2012, the MII has trained over 2,900 State employees, at no cost to the States. With a focus on preventing and detecting fraud, waste, and abuse in Medicaid programs, NAMPI provides resources, education, and networking opportunities for professionals in the healthcare industry. 29-Dec. It is part of the Centers for Medicare & Medicaid Services (CMS) efforts to combat fraud, waste, and abuse in the Medicaid program. Medicaid has always focused on detection and prevention of fraud and abuse. These 1. Attendance at training sessions is mandatory and prompt appearance is expected. The MII provides a unique opportunity for CMS to offer substantive training, technical assistance, and support to the States in a structured learning environment. 6. Nov 26, 2024 · Medicaid Program Integrity Reports. To assist the states with these requirements, CMS offers the Medicaid Program Integrity Manual. CMS provides training year-round to state Medicaid program integrity personnel through the Medicaid Integrity Institute. To accomplish that, the Centers for Medicare & Medicaid Services (CMS) executed an interagency agreement Sep 10, 2024 · Serves as CMS' focal point for all national and State-wide Medicare and Medicaid programs and CHIP integrity fraud and abuse issues. 3 . 2 Medicaid Integrity Institute (MII) The MII is a national Medicaid program integrity training center that provides support and assistance to the States’ program integrity operations. Emerging Trends in Medicaid—Opioids October 17-19, 2017 HCPro’s Evaluation and Management Boot Camp December 6-7, 2017 HCPro’s Certified Coder Boot Camp -Original Version January 8-12, 2018 MEDICAID INTEGRITY INSTITUTE FY-16 TRAINING CALENDAR COURSE OVERVIEW Basic Skills and Techniques in Medicaid Fraud Detection Program November 3-5, 2015 HCPro’s Evaluation and Management Boot Camp December 1-2, 2015 Program Integrity Fundamentals Program December 8-11, 2015 Pharmacy Symposium Cancelled January 12-14, 2016 Senatore serves on the Board of Directors of the Boston Chapter of Certified Fraud Examiners developing training for its members and serves on the faculty at the Medicaid Integrity Institute. CMS also provides educational opportunities, such as the Medicaid Integrity Institute. Behavioral Health & Substance Use Disorder Services March 4-6, 2025. She is also the former President of the National Association for Medicaid Program Integrity for 2011-2014. How the Conference Advanced the Mission of the Agency: The Medicaid Integrity Institute (MII) offers a comprehensive program of study addressing aspects of Medicaid program integrity to state Medicaid integrity efforts by defining in regulation the parameters for how states must address statutory requirements and conducting oversight to ensure compliance. states’ experiences with collaborative audits; 3. CMS executed an interagency agreement with the Department of Justice to house the institute at the Department’s National Advocacy Center, located at the University of South Carolina. Medicaid Integrity Institute National Advocacy Center 1620 Pendleton Street Columbia, South Carolina 29201 (803) 705-5100/5105 (Phone) (803) 705-5110 (Fax) General Information Course, Travel and Lodging/Facilities. In 2019, CMS took a significant step in strengthening Medicaid and CHIP program integrity by releasing the FYs 2019-2023 Comprehensive Medicaid Integrity Plan (CMIP). The agenda will include basic information on the Medicaid program, its history, important functions, and processes. MEDICAID INTEGRITY INSTITUTE (MII) FY2021 TRAINING CALENDAR support activities, such as the Medicaid Integrity Institute and State Program Integrity Assessments, showed mixed results (GAO 2012a, GAO 2012b). 13 through 455. 0 billion (see Table 4 for activity-specific savings). To help oversee this requirement, CMS conducts focused program integrity reviews on high-risk areas in the Medicaid program: Case tracking and referrals; Managed care; New statutory and regulatory compliance; Overpayment identification and recovery MEDICAID INTEGRITY INSTITUTE FY-17 TRAINING CALENDAR COURSE OVERVIEW Basic Skills and Techniques in Medicaid Fraud Detection Program November 15-17, 2016 The Reid Technique of Interviewing and Interrogation Nov. The Secretary of the Department of Health and Human Services (HHS) created the Center for Program Integrity (CPI) to align Medicare and Medicaid activities in March 2010. Since 2008, the MII has provided professional education to more than 7,035 Medicaid employees from The Medicaid Integrity Institute (MII) offers a comprehensive program of study addressing aspects of Medicaid program integrity to include fraud investigation, data mining and analysis, managed care oversight, provider screening and enrollment, and case development. Promotes the integrity of the Medicare and Medicaid programs and CHIP through provider/contractor audits and policy reviews, identification and monitoring of program vulnerabilities, and providing support and Nov 15, 2023 · Medicaid Integrity Institute (MII): CMS offers training, technical assistance, and support to state Medicaid program integrity officials through the MII. , a provider) to use other pieces of MEDICAID INTEGRITY INSTITUTE FY-13 TRAINING CALENDAR COURSE OVERVIEW Medical Record Auditing **New course** October 10-11, 2012 HCPro’s Certified Coder Boot Camp – Original Version October 22-26, 2012 Specialized Skills and Techniques in Medicaid Fraud Detection November 7-9, 2012 Coding for Non-Coders **New course** December 4-6, 2012 As the Assistant Director (AD) for the Medicaid Integrity Institute (MII), I am responsible for collaborating with 50 states, the Distrcit of Columbia and the Centers for Medicare and Medicaid MEDICAID INTEGRITY INSTITUTE FY20 TRAININGCALENDAR . Better align payment systems to promote patient-centered practices. For Medicaid, contact your State or local Medicaid office. Sep 10, 2024 · In September 2007, the Centers for Medicare & Medicaid Services (CMS) established the Medicaid Integrity Institute (MII), the first national Medicaid program integrity training program. gov Phone: 907-269-0399 Fax: 907-269-3460. Dec 10, 2019 · Medicaid is a large source of spending in both state and federal budgets, making program integrity efforts important to prevent waste, fraud, and abuse and ensure appropriate use of taxpayer dollars. The tiles below provide direct access to resources organized by audience, or you can use the navigation above to move among audiences and view resources Mar 15, 2017 · Other CMS approaches, such as courses offered by the Medicaid Integrity Institute (a national training program for states), were not designed for sharing promising practices and do not systematically communicate them to all states. Executive Summary . Trainings include various aspects of Medicaid program integrity, including fraud investigations, data mining and analysis, provider enrollment, managed care oversight, emerging trends, and case development. It describes new and enhanced initiatives to ensure sound stewardship and oversight of Medicaid resources, such as audits, data analytics, provider screening and public reporting. Centers for Medicare & Medicaid Services (CMS) Medicaid In Quarter 1 of FY 2024, CMS continued providing education to states through the Medicaid Integrity Institute (MII). how CMS tailors its reviews of states’ Medicaid program integrity activities to account for differences in states’ health care delivery systems and program integrity needs; 2. Excluded Provider List inquiries. State Employee Travel Expenses. CMS also has initiatives to collaborate with states and other entities to Nov 30, 2024 · The resources on these pages cover important topics in Medicaid program integrity. 212 - set forth requirements for a state fraud detection and investigation program, Oct 14, 2014 · Program Integrity Initiatives. Medicare & Medicaid Services (CMS) assembled a body of experts at the Medicaid Integrity Institute (MII) for a course entitled, “Emerging Trends in Home and Community-Based Services and Personal Care Services” in February 2017. of . In accordance with section 1936(e)(2)(B)(ii), CMS is required to publish information on the travel and related expenses of State Medicaid employees for training, education, consultations, and other meetings. This course should be used for training during State FY2024 which runs October 1, 2023 - September 30, 2024. Aug 14, 2023 · The Center for Medicare and Medicaid Innovation, also known as the CMS Innovation Center, develops and tests new healthcare payment and service delivery models to: Improve patient care. The institute offers substantive Aug 8, 2013 · Medicaid Integrity Institute National Advocacy Center. Back to main menu section title h2. MEDICAID INTEGRITY INSTITUTE (MII) FY2021 TRAINING CALENDAR Medicaid Integrity Institute . 2, 2016 Data Experts Symposium December 13-15, 2016 safeguard the integrity of Medicaid and the Children’s Health Insurance Program (CHIP) during fiscal years (FYs) 2024–2028. A separate CHIP program likely enrolls their enrollees in managed care, so some program integrity activities are carried out by the health plan. Dec 12, 2024 · Training. Since 2008, the MII has provided professional education to more than 7,035 Medicaid employees from 1. Jan 16, 2025 · Center for Program Integrity (CPI) Overview Statements. Audit and Investigative Skills March 18-20, 2025 Interactions Between Medicaid Fraud Control Units and Program Integrity Units Symposium July 29-31, 2025 Billing and Claims Management Boot Camp August 11-15, 2025 Medicaid Managed Care Symposium September 23-25, 2025 The dates, course titles, and course descriptions may change as needed. Dec 19, 2024 · Expand the scope of our integrity programs related to Medicaid managed care enforcement and oversight Increase our integrity efforts related to problematic Marketplace agents/brokers Prioritize and pursue mitigation strategies for the highest-priority program integrity vulnerabilities, while simultaneously improving the evaluation of any On December 19, 2011, NAMD issued a statement following the Medicaid Fraud and Program Integrity Congressional Hearing held December 7, 2011. RISS is a secure web-based system for collaboration and dissemination where all states can exchange documents, tips, and best practices about Medicaid program integrity. CMS concurred with many of the suggestions GAO provided to improve the efficiency of federal Medicaid program integrity activities, and as part of a broader effort to increase program May 5, 2014 · MEDICAID INTEGRITY INSTITUTE FY-14 TRAINING CALENDAR Program Integrity Fundamentals This basic course is designed as an introduction to program integrity functions within state Medicaid units. FY2025 Training Calendar. High-Cost Risk Pool (HCRP) Audits. 7 Demonstrations and Models 34 4. “In addition, one constructive initiative underway is the Medicaid Integrity Institute (MII). Jan 21, 2025 · The Centers for Medicare & Medicaid Services (CMS) headquarters is located in Woodlawn, Maryland, a suburb of western Baltimore County, MD, outside of Baltimore City. 12 - requires the Medicaid state plan to include provisions for program integrity; 42 CFR 455. The institute, established by CMS, provides a unique opportunity for states to receive substantive training, technical assistance and support in a structured learning environment. Since 2007, the Medicaid Integrity Institute (MII) has provided professional education to more than 4,200 Medicaid employees from Nov 13, 2012 · Other MIG oversight and support activities--the free training provided to state officials through the Medicaid Integrity Institute, the evaluation of state program integrity procedures through triennial comprehensive reviews, and the collection of data from states through annual assessments--show mixed results in enhancing program integrity MEDICAID INTEGRITY INSTITUTE FY-15 TRAINING CALENDAR COURSE DESCRIPTIONS Basic Skills and Techniques in Medicaid Fraud Detection This course is designed to enhance the fundamental investigatory and analytical skills of state Medicaid employees to maximize the effectiveness of program integrity efforts to detect health care fraud, waste, and abuse. medicaid. g. MEDICAID Revised 03/02/2011 INTEGRITY INSTITUTE 2011 TRAINING CALENDAR HCPro’s Evaluation and Management Boot Camp December 1-3, 2010 The Evaluation & Management Boot Camp will teach the fundamentals and intricacies of E/M coding and how to perform effective E/M audits. Lower costs. 1 The FY 2024-2028 CMIP contains many initiatives that are highlighted in five key areas necessary for Medicaid program integrity oversight: 1. gov Mar 9, 2021 · officials through the Medicaid Integrity Institute, the evaluation of state program integrity procedures through triennial comprehensive reviews, and the collection of data from states through annual assessments—show mixed results in enhancing program integrity efforts. 4 State Access to Medicare Data 32 4. Columbia, South Carolina 29201 (803) 705-5100 (Phone) (803) 705-5110 (Fax) Dec 17, 2024 · Other than state Medicaid agencies, MA organizations, and private third-party businesses, are there any other organizations that operate an externally-controlled MBI lookup tool? For reference, we define an externally-controlled MBI lookup tool as any tool not operated by CMS that allows an entity (e. Kristina Harp Medicaid Program Specialist Phone: 907-334-2413 Fax Dec 10, 2019 · The Medicaid Integrity Institute (MII) provides training and education to state Medicaid program integrity staff annually. Resources. 4. Both CMS and the states have a role in identifying promising program integrity practices. Back to menu Jan 13, 2025 · Prior to joining CalOPTIMA, Cheri served as a Medicare and Medicaid budget examiner for the Office of Management and Budget in the U. The MII provides substantive training, technical assistance and support to state Medicaid program integrity For all Medicaid Program Integrity inquiries, contact: Medicaid Program Integrity 3601 C Street, Suite 902 Anchorage, AK 99503 Program review and quality assurance inquiries. This Comprehensive Medicaid Integrity Plan sets forth the strategy of the Centers for Medicare & Medicaid Services (CMS) to safeguard the integrity of the Medicaid program during federal fiscal years (FYs) 2019–2023. Page Last Modified: 01/23/2024 10:17 AM Jan 17, 2025 · Medicaid Integrity Institute; RG-Placeholder-1; IC-Placeholder-2; Marketplace & Private Insurance. Medicaid Integrity Institute Training Courses D ates: 10/01/2016 - 09/30/2017 . . Dr. Sep 21, 2023 · GAO is making two recommendations to CMS. The resources below cover important topics such as provider enrollment, interactions with Medicaid Fraud Control Units, data analytics, and more. Department of Justice, Medicaid Integrity Institute (MII). 7 Medicaid Integrity Institute (MII) 34 4. Since 2007, the Medicaid Integrity Institute (MII) has provided professional education to more than 4,200 Medicaid employees from every state, the District of Columbia, and Puerto Rico. Medicaid Managed Care Oversight. Instructors at the 5 | Page Representatives from 39 of the 50 states and Washington, DC, attended the course on behalf of state Medicaid, Program Integrity, and Law Enforcement agencies. Comprehensive Medicaid Integrity Plan, FY 2024 - FY 2028 (PDF) This CMIP sets forth CMS’ strategy for working with states to safeguard the integrity of Medicaid and the Children’s Health Insurance Program (CHIP) during fiscal years (FYs) 2024 –2028. Aug 31, 2020 · Program integrity means ensuring that state and federal tax dollars are used to ensure access to covered and appropriate services for eligible people and are not diverted to fraud, waste, and abuse CMS and State Medicaid/CHIP agencies share responsibility for ensuring the integrity of the Medicaid and CHIP Trends in Medicaid: COVID-19 Vulnerabilities March 23-25, 2021 PERM Corrective Action Symposium May 18-20, 2021 Education & Outreach for the Territories Workgroup August 10, 2021 . 8349 Email: omig. NAMPI is a professional organization dedicated to promoting and supporting the integrity of Medicaid programs across the United States. About the Marketplace. integrity of the Medicaid program by combatting fraud, waste, and abuse. Cheri holds a Bachelor of Arts degree in History from the University of California, Santa Barbara and a Master of Public Policy degree from Harvard University’s Kennedy integrity of the Medicaid program by combatting fraud, waste, and abuse. Botsko was the Inspector General for the State of Arizona Medicaid Program and has more than 27 years as a Federal Law Enforcement Officer, where his last assignment was the Deputy Director for Training for the Inspector General Sep 2, 2016 · Medicaid Integrity Institute; RG-Placeholder-1; IC-Placeholder-2; Marketplace & Private Insurance. Program integrity experts from State Medicaid Medicaid program integrity, including: fraud investigation, data mining and analysis, provider enrollment, managed care oversight, emerging trends, and case development. The MIG created the MII in September 2006 through an interagency agreement with the United States Department of Justice’s (DOJ) Office of Legal Education. Nov 12, 2014 · MEDICAID INTEGRITY INSTITUTE FY-15 TRAINING CALENDAR COURSE DESCRIPTIONS Basic Skills and Techniques in Medicaid Fraud Detection This course is designed to enhance the fundamental investigatory and analytical skills of state Medicaid employees to maximize the effectiveness of program integrity efforts to detect health care fraud, waste, and abuse. Title: Medicaid Integrity Institute FY2020 Training Calendar Created Date: 4/14/2022 10:39:17 AM Medicaid and the Children's Health Insurance Program (CHIP) are required to have a fraud detection and investigation program that meets certain federal standards. CMS should (1) use analysis of trends in state auditor findings to inform its oversight; and (2) strengthen its collaboration with state auditors; for example, by sharing information on those trends and the status of actions to address audit findings, and continuing to identify Compliance Supplement updates. The tiles below provide direct access to resources organized by audience, or you can use the navigation above to move among audiences and view resources integrity of the Medicaid program by combatting fraud, waste, and abuse. Section 1343 of the Patient Protection and Affordable Care Act (ACA) established the permanent risk adjustment program, one of the three premium stabilization programs, to provide payments to health insurance issuers that cover higher-cost and higher-risk populations to more evenly spread the financial risk borne by issuers of risk adjustment covered plans Sep 10, 2024 · CMS’ Medicaid Integrity Program collects and analyzes information about state program integrity efforts and creates guidance and best practices to help states. It is situated in a convenient area, directly off the Baltimore Beltway (I-695), close to restaurants, shops and approximately 20 minutes away from downtown Baltimore. Some toolkits also contain resources that providers can share with their patients to help beneficiaries understand their Sep 3, 2024 · Medicaid Integrity Institute; RG-Placeholder-1; IC-Placeholder-2; Marketplace & Private Insurance. According to state officials, the modest Medicaid Integrity Institute 1,250 State employees trained for free through FY 09 16 classes for FY 10 Traditional training + “think tank”symposia to share info of The Program Integrity Division is responsible for: Guarding against fraud, abuse and deliberate misuse of Medicaid program benefits by individual providers and recipients; Ensuring that Medicaid recipients receive necessary medical care at a level of quality consistent with that available to the general population; Medicaid Integrity Institute (MII) The MII is a national Medicaid program integrity training center that provides support and assistance to the States’ program integrity operations. Venue, City, State or Country: National Advocacy Center, DOJ, Columbia, SC . Oct 26, 2023 · The North Dakota Medicaid Provider Integrity Unit holds three annual update sessions. of Medicaid Integrity Program Key Medicaid Integrity Contractor (MIC) Activities: reviewing of Medicaid claims to see whether potentially inappropriate payments or fraud may have occurred (Review MICs); auditing Medicaid claims and identify overpayments (Audit MICs); and educating state Medicaid program integrity employees, Medicaid providers Medicaid Integrity Institute; RG-Placeholder-1; IC-Placeholder-2; Marketplace & Private Insurance. Medicaid Integrity, Compliance, and Service Verification. He also serves as an ad hoc instructor for the U. CMS also continued to offer the data compare service to states, which allows them to rely on Medicare screening for dually enrolled providers. 6 Provider Screening and Enrollment 32 4. Title: Medicaid Integrity Institute FY2020 Training Calendar Created Date: 4/14/2022 10:39:17 AM Sep 5, 2024 · MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR COURSE OVERVIEW Note: This FY18 Training Calendar is subject to funds availability. Nov 15, 2021 · Medicaid Integrity Institute (MII): CMS offers training, technical assistance, and support to state Medicaid program integrity officials through the MII. Centers for Medicare & Medicaid Services (CMS) Medicaid In Quarter 3 of FY 2024, CMS continued providing education to states through the Medicaid Integrity Institute. Attendance Attendance at training sessions is mandatory and prompt appearance is expected. Sep 10, 2024 · Medicaid Integrity Institute (MII) The MII provides a variety of training tailored to meet the ongoing needs of state Medicaid employees. 2 Reviewing State Program Integrity Activities 31 4. S. MEDICAID INTEGRITY INSTITUTE (MII) FY2021 TRAINING CALENDAR Medicaid program integrity, including: fraud investigation, data mining and analysis, provider enrollment, managed care oversight, emerging trends, and case development. officials through the Medicaid Integrity Institute, the evaluation of state program integrity procedures through triennial comprehensive reviews, and the collection of data from states through annual assessments—show mixed results in enhancing program integrity efforts. Emerging Trends in Medicaid—Opioids October 17-19, 2017 HCPro’s Evaluation and Management Boot Camp December 6-7, 2017 HCPro’s Certified Coder Boot Camp -Original Version January 8-12, 2018 Sep 10, 2024 · State Medicaid personnel may volunteer in a number of capacities including serving on a course work group, presenting lectures, serving on multi-state and federal-state panels, facilitating breakout sessions, delivering distance learning presentations, and developing classroom practical exercises/hypotheticals. 1 Demonstrations 34 Medicaid program integrity, including: fraud investigation, data mining and analysis, provider enrollment, managed care oversight, emerging trends, and case development. According to state officials, the modest Nov 4, 2024 · A Career with the Innovation Center. National Advocacy Center. As Medicaid has grown in size and scope, those efforts have intensified at both the Sep 10, 2024 · A variety of toolkits and resources will help providers manage the ins and outs of Medicaid compliance in areas that are prone to errors and audits, such as documentation, personal care services, hospice, and dental care. CMS opportunity to support Medicaid states by offering training and technical assistance – NO COST TO STATES! Mission is to raise national program integrity performance standards and professionalism Trends in Medicaid: COVID-19 Vulnerabilities March 23-25, 2021 PERM Corrective Action Symposium May 18-20, 2021 Education & Outreach for the Territories Workgroup August 10, 2021 . You can learn about Medicaid, audits (self-auditing and Medicaid provider audits), fraud, waste, and abuse, and receive updates about policies or other changes to the Medicaid program. Course Information . Medicaid Integrity Program A to Z The MII offers training at no cost to State Medicaid program integrity staff in various disciplines encompassing all aspects of Medicaid program integrity, including fraud investigation, use of algorithms, state of the art data-mining tools and Certified Professional Coder Training (CPT) medical billing codes. The Medicaid Integrity Institute (MII) provides training and technical assistance to state Medicaid program integrity employees. how the Medicaid Integrity Institute supports states’ efforts to address program integrity vulnerabilities; and MEDICAID INTEGRITY INSTITUTE FY20 TRAININGCALENDAR . QAPIprogramintegrity@alaska. 3. Phone: 501. how the Medicaid Integrity Institute supports states’ efforts to address program integrity vulnerabilities; and MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR COURSE OVERVIEW Emerging Trends in Medicaid—Opioids October 17-19, 2017 HCPro’s Evaluation and Management Boot Camp December 6-7, 2017 HCPro’s Certified Coder Boot Camp —Original Version January 8-12, 2018 Emerging Trends in Medicaid—Third Party Liabilit y February 6-8, 2018 Sep 10, 2024 · The resources on these pages cover important topics in Medicaid program integrity. May 2, 2024 · In collaboration with other CMS Centers, Offices, and the COO, develops and implements a comprehensive strategic plan, objectives and measures to carry out CMS' Medicare, Medicaid and CHIP program integrity mission and goals, and ensure program vulnerabilities are identified and resolved. Back to menu 3 NCCI methodologies have been successfully used by the Medicare program since the mid-1990s and have been proven to save Medicare millions of dollars in program expenditures. Dec 12, 2024 · The mission of the Medicaid Integrity Institute (MII) is to provide effective training tailored to meet the ongoing needs of state Medicaid employees responsible for protecting the integrity of the Medicaid program, with the goal of raising national program integrity performance standards and professionalism, at no cost to states. Back to menu Sep 10, 2024 · Medicaid Integrity Institute; RG-Placeholder-1; IC-Placeholder-2; Marketplace & Private Insurance. Office of Medicaid Inspector General. Medicaid Provider Auditing Fundamentals: Audit Plans, Protocols, and Reports, April 27, 2023. 7. The Medicaid Integrity Institute (MII) was established by Centers for Medicare and Medicaid Services (CMS) and US Dept. Instructors at the Sep 10, 2024 · Medicaid Integrity Institute Reports MII Annual Reports. Comprehensive Medicaid Integrity Plan for FYs 2024-2028 (PDF) – CMS’ detailed plan to protect taxpayer dollars in the Medicaid program and CHIP by combatting fraud, waste, and abuse. 1620 Pendleton Street . More information is located at the Medicaid Integrity Institute website. The SUR Unit of Nevada Medicaid is comprised of Administrative Staff, Analysts, a Registered Nurse, and Certified Professional Coders. The CMIP The Code of Federal Regulations (CFR) outlines requirements for Medicaid program integrity, including: 42 CFR 455. Back to menu MEDICAID INTEGRITY INSTITUTE FY-14 TRAINING CALENDAR Basic Skills and Techniques in Medicaid Fraud Detection This course is designed to enhance the fundamental investigatory and analytical skills of state Medicaid employees to maximize the effectiveness of program integrity efforts to detect health care fraud, waste, and abuse. MEDICAID INTEGRITY INSTITUTE (MII) FY2025 TRAINING CALENDAR Nov 14, 2024 · Medicaid Integrity Institute. Instructors at MEDICAID INTEGRITY INSTITUTE FY-18 TRAINING CALENDAR COURSE OVERVIEW Note: This FY18 Training Calendar is subject to funds availability. To help oversee this requirement, CMS conducts focused program integrity reviews on high-risk areas in the Medicaid program: Aug 6, 2024 · Members of the division served as faculty at the Medicaid Integrity Institute's Medicaid Provider Audit and Investigative Skills Symposium. of Justice in 2007. Columbia, South Carolina 29201 (803) 705-5100 (Phone) (803) 705-5110 (Fax) General Information Course, Travel and Lodging/Facilities . Jan 23, 2024 · Coordinates with the Center for Program Integrity on the identification of program vulnerabilities and implementation of strategies to eliminate fraud, waste, and abuse. Back to menu Trends in Medicaid: COVID-19 Vulnerabilities March 23-25, 2021 PERM Corrective Action Symposium May 18-20, 2021 Education & Outreach for the Territories Workgroup August 10, 2021 . The first national Medicaid integrity training program, the MII provides a unique opportunity for CMS to offer substantive training, program integrity technical assistance, and support to the states in a structured learning environment. 6. 10. The Medicaid Integrity Institute (MII) • At the Medicaid Integrity Institute (MII), CPI provides substantive training, technical assistance and support to State Medicaid program integrity staff. Address: 900 West Capitol Avenue, Suite 310 Little Rock, AR 72201. Whether you're a state or federal Medicaid program employee Medicaid Integrity Institute (fiscal year 2007) The institute is the first national Medicaid integrity training program. To accomplish the requirements of Medicaid Integrity Institute (fiscal year 2007) The institute is the first national Medicaid integrity training program. Attendance . Program integrity experts from State Medicaid Nov 19, 2024 · To assist the states with these requirements, CMS offers the Medicaid Program Integrity Manual. Additional findings of the report include: • In 2016, CMS conducted Medicaid integrity reviews in 40 states. Program Integrity in Medicaid Managed Care – July 16- 18, 2024 (RESIDENTIAL) This course provides a platform for attendees to learn from CMS, the Department of Health and Human Services Office of Inspector General, and state peers, who share invaluable perspectives, insights, and expertise in Sep 10, 2024 · The MII supports a Medicaid program integrity workspace on the Regional Information Sharing System (RISS). pi@arkansas. Carolina. In addition, it provides one-on-one technical assistance to states (CMS 2016). The institute offers substantive collaborative program integrity efforts for Medicaid and CHIP resulted in estimated federal share savings of $2. How to File a Section 508 Complaint Individuals who are members of the public that wish to file a complaint pursuant to Section 508 of the Rehabilitation Act of 1973 in connection with electronic and communication technology procured, maintained, developed, or used by CMS may do so in that state’s Medicaid program integrity efforts. This factsheet outlines CMS's plan to reform Medicaid using the three pillars of flexibility, accountability and integrity. Executive Office of the President. Medicaid Risk Assessment Webinar June 21, 2022 Program Integrity Webinar Series: PI Reviews July 12, 2022 Opioid Fraud, Waste, and Abuse Data Analytics in Medicaid August 2, 2022 Medicaid Provider Enrollment and Terminations August 3, 2022 Hospice Risk Metrics in Medicaid August 30, 2022 Medicaid Managed Care Symposium September 7-8, 2022 Nov 14, 2024 · Strengthen safeguards in Personal Care Services: Read about noteworthy practices and CMS guidance in the CMS Medicaid Integrity Institute paper, Vulnerabilities and Mitigation Strategies in Medicaid Personal Care Services (PDF) and the CMS FAQ on Allowability of Using National Provider Identifiers (NPIs) for Medicaid Personal Care Attendants Medicare & Medicaid Services (CMS) assembled a body of experts at the Medicaid Integrity Institute (MII) for a course entitled, “Emerging Trends in Home and Community-Based Services and Personal Care Services” in February 2017. 3 Medicaid Managed Care MLR Audits 31 4. We have organized the resources by audience and by topic to help you easily find what is most relevant to you. Apr 17, 2017 · GAO’s Medicaid integrity report found that while the Medicaid Integrity Institute (MII) is an important training resource, state demand exceeds the institute’s capacity to perform proper oversight. teghf mle yibext bxoek nexggq qfjddzam vyuw arm fmhyi isxhqsu gfpsar hauere igpm giym ogjdr