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What is a Medicaid Health Plan

WebMany Medicaid recipients are required to enroll with a Managed Care Organization (MCO). An MCO that covers physical health care is called an Accountable …

Actived: 3 days ago

URL: https://oig.utah.gov/2017/08/24/what-is-a-medicaid-health-plan/

Managed Care Organizations (MCOs) Utah Office of …

WebManaged care is a Medicaid delivery system in which the Utah Department of Health contracts with MCOs to provide Medicaid covered services to enrolled members. …

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Utah Office of Inspector General Protecting taxpayer …

WebJoin us for this virtual and fee conference hosted by the The Department of Health and Human Services Division of Aging and Adult Services. The event will take place June …

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UOIG News Utah Office of Inspector General

WebThe Utah Office of the Inspector General (UOIG) submitted its 2018 Annual Report to the Governor, Speaker of the House, Senate President and to the Executive …

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FAQs Utah Office of Inspector General

WebFAQs. What type of fraud and abuse do you investigate? Medicaid provider fraud, waste and abuse is the focus of the Utah Office of Inspector General (UOIG). To …

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Utah Medicaid Managed Care Organizations (MCOs) …

WebReferences • 42 CFR 438 • UCA, Title 31A • UAC R4140-140 • Section I: General Information Provider Manual

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Home Health Services Fee-for-Service Medicaid …

WebResponsibilities CAO: 17 October 2014 Gene Cottrell Inspector General • Home Health Agency: • Coordinates all care services to meet: • Medical, nursing and related health …

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Medicaid Prescription Payments

WebMedicaid Prescription Payments. Report Number 2018-05. July 14, 2020. Utah Office of Inspector General. July 14, 2020. To: Utah Department of Health. Please see the …

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UTAH OFFICE OF INSPECTOR GENERAL MEDICAID …

Web2 | P a g e October 31, 2019 To: Governor Gary R. Herbert, President Stuart Adams, Speaker Brad Wilson, and the Members of the Infrastructure and General Government …

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2018 Annual Report

WebLooking ahead to 2019, UOIG will continue working closely with key stake holders including DOH, DHS, DWS and other local, state and federal entities to ensure all state and …

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Report Fraud Utah Office of Inspector General

WebFraud hotline number: 1-855-403-7283. Reporting fraud can also be completed through the fraud referral forms. Please click one of the links below to …

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An Audit of Deficit Reduction Act Compliance for Federal …

WebA udit F indings if entities : (FFY) 2020 , are compliant or paid at least with $5,000,000 DRA Section of Medicaid funds, during. compliance open Medicaid’s to …

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Provider Preventable Conditions Reporting Accountable Care …

WebInspector General. June 15, 2021 To: Utah Department of Health Please see the attached audit report, Provider Preventable Conditions Reporting, Accountable Care …

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UTAH OFFICE OF INSPECTOR GENERAL MEDICAID SERVICES …

WebCannon Health Building, 288 North 1460 West, Salt Lake City, Utah 84116 ∙ Mailing: PO Box 143103 Salt Lake City, Utah 84114-3103 phone (801) 538-6087 ∙ fraud hotline (855) …

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Provider Enrollment

WebPRISM Troubleshooting •Question: I cant get the view/Upload Attachments to complete. What am I missing? •Answer: All new validations require a Provider Agreement and …

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Audit of HIPAA compliance for BAA of Utah DOH

WebUtah Office of Inspector General . July 18, 2017 . To: Utah Department of Health . Please see the attached report, Audit of HIPAA compliance for BAA of the Utah DOH, (Report …

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Billing Medicaid Patients

WebPresumptive Eligibility (PE) is a temporary Medicaid program that bases eligibility on preliminary information to make an individual ‘presumptively’ eligible. There are two PE …

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An Audit of Deficit Reduction Act Section 6032 Compliance …

WebMedicaid is a joint state and federal government health insurance program established by Title XIX of the 1965 Social Security Act. State Law designates the Utah Department of …

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Federal List of Excluded Individuals/Entities (LEIE)

WebThe LEIE is updated monthly with new exclusion and reinstatement files. You may contact the Utah Office of the Inspector General Policy and Training Coordinator at …

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