Register Now: Guidance for Avoiding Fraud, Waste, and Abuse

A presentation for New Jersey Intensive In-Community Providers

  • Posted on - 12/6/2022

Registration for this event is closed.

When:

Thursday, January 19, 2023 from 1-2:30pm
Watch the video from this event here.

Program Description:

The following state agencies -- the Medicaid Fraud Division (MFD) of the Office of the State Comptroller, the Division of Medical Assistance and Health Services (DMAHS) within the Department of Human Services, the Division of the Children’s System of Care (CSOC) within the Department of Children and Families, and the Medicaid Fraud Control Unit (MFCU) in the Attorney General’s Office -- work together with New Jersey's Managed Care Organizations (MCOs) to identify and recover overpayments caused by fraud, waste, and abuse in the Medicaid program (often referred to as NJ FamilyCare).  This session is designed to provide stakeholders, specifically Medicaid intensive in-community providers, a better understanding of best practices to prevent, avoid, and detect fraud, waste, and abuse in the Medicaid program.

Goals of the Presentation -- To Help Attendees Understand:

  • The Medicaid program regulatory oversight structure
  • The Medicaid regulatory framework and compliance requirements
  • Medicaid documentation requirements for providers
  • Third Party Liability (TPL) requirements
  • Fraud, waste, and abuse obligations of providers (prevention and reporting)
  • The consequences for  non-compliance by providers 

Speakers

Representatives from the State government agencies listed above, and representatives from several of New Jersey’s Medicaid Managed Care Organizations.

Registration

Registration for this event is closed.

For more information, please email provider-education@osc.nj.gov. The sponsors reserve the right to cancel or modify any training session for any reason without advance notice.

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Waste or Abuse

Report Fraud
Waste or Abuse
Government Waste and Mismanagement Hotline: 1-855-OSC-TIPS (672-8477)