Official Site of The State of New Jersey

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 Certificate of Need and Licensing at the Department of Health, and the Medicaid Fraud Control Unit (MFCU) in the Attorney General’s Office -- work together with New Jersey's Managed Care Organizations (MCOs) to prevent, 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 Adult Medical Day Care providers, a better understanding of best practices to prevent and detect fraud, waste, and abuse in the Medicaid program.

• • The Medicaid program regulatory oversight structure and compliance requirements
  • Medicaid documentation requirements for payment
  • Fraud, waste, and abuse obligations of providers (prevention and reporting)
  • Red flag areas and the consequences for non-compliance by providers

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

Registration is required and is limited.

Click here to register.

Need more information? Please email questions to provider-education@osc.nj.gov.