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Office of the Medicaid Inspector General Bart Dickinson, Chief Counsel.

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Presentation on theme: "Office of the Medicaid Inspector General Bart Dickinson, Chief Counsel."— Presentation transcript:

1 Office of the Medicaid Inspector General Bart Dickinson, Chief Counsel

2 Creation of the OMIG On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office.

3 Creation of the OMIG On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office. Now codified Ark. Code Ann. §

4 Creation of the OMIG On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office. Now codified Ark. Code Ann. § Outlines OMIG’s Purpose Authority Duties

5 Mission Statement of the Arkansas Medicaid Inspector General Pursuant to Ark. Code Ann. § , the Office of the Medicaid Inspector General, (OMIG) shall: (1)Prevent, detect, and investigate fraud and abuse within the medical assistance program; (2) Refer appropriate cases for criminal prosecution; (3) Recover improperly expended medical assistance funds; (4) Audit medical assistance program functions; and (5) Establish a medical assistance program fraud and abuse prevention.

6 OMIG Duties Perform former DMS Program Integrity functions including: audits; reviews; and investigations

7 OMIG Duties Perform former DMS Program Integrity functions including: audits; reviews; and investigations Pursue civil and administrative enforcement actions

8 OMIG Duties Perform former DMS Program Integrity functions including: audits; reviews; and investigations Pursue civil and administrative enforcement actions Refer cases of fraud and criminal activity – Providers AND Beneficiary fraud

9 OMIG Duties cont. Utilize subpoena power for witnesses and documents

10 OMIG Duties cont. Utilize subpoena power for witnesses and documents Recommend and implement policies to reduce fraud and abuse

11 OMIG Duties cont. Utilize subpoena power for witnesses and documents Recommend and implement policies to reduce fraud and abuse Monitor, review, and work with DHS/DMS

12 OMIG Duties cont. Utilize subpoena power for witnesses and documents Recommend and implement policies to reduce fraud and abuse Monitor, review, and work with DHS/DMS Work with Providers

13 Conduct Educational Programs Communicate with Providers Develop Protocols for Self-Disclosure Establish Policies and Procedures for Audits Create a Model Provider Compliance Program

14 Features of OMIG website Online Referral and Fraud complaint form Medicaid Fraud Hotline information Medicaid Provider Exclusion List Provider Enrollment information Provider Self-Disclosure Protocol Provider Compliance Program News about the Office of the Medicaid Inspector General Links to other federal and state agencies or resources Education on Medicaid fraud, waste and abuse

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17 Contact Information Office of the Medicaid Inspector General P.O. Box 1437, Slot S-414 Little Rock, Arkansas FAX: _________________________________________________ Jay Shue, Medicaid Inspector General Office of the Medicaid Inspector General 323 Center Street, Ste Little Rock, AR Bart Dickinson, Chief Counsel Office of the Medicaid Inspector General 323 Center Street, Ste Little Rock, AR Robin Raveendren, Program Integrity Director Office of the Medicaid Inspector General Donaghy Plaza West, 700 Main Street Little Rock, AR


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