Search results for: medicaid fraud control unit

The purpose of this RFP is to solicit proposals that will enable the Department of Health and Human Services (Agency) to select the most qualified contractor to provide services and support for business functions within the Iowa Medicaid Program Integrity business unit.

A program to monitor utilization and detect fraud and abuse is operated by HCA’s Office of Inspector General and the Medicaid Fraud Control Unit of the New Mexico Office of the Attorney General. Fee-For-Service Populations. Some populations for Medicaid benefits are exempt from receiving services through a managed care organization. In those instances, HCA reimburses the providers directly.