MA-2900 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES
MA-2900 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES
- PURPOSE
- LEGAL RESPONSIBILITY AND REFERENCES
- NORTH CAROLINA GENERAL STATUTES
- FRAUD VS. MISREPRESENTATION
- PREVENTION
- DETECTION
- INVESTIGATIONS
- CALCULATING OVERPAYMENTS
- CONCLUSIONS AND RECOMMENDATIONS
- NOTICES AND APPEALS
- ADMINISTRATIVE COLLECTION PROCEDURES
- BANKRUPTCY
- DISTRIBUTION OF CASH REPAYMENT
- EPICS REPORTING REQUIREMENTS
- NC DEBT SETOFF (TAX INTERCEPT) CRITERIA FOR MEDICAID CLAIMS
- NORTH CAROLINA TITLE XIX MEDICAID RECIPIENT/NCHC PROFILES