The DHHS Office of Inspector General has issued the Fiscal Year 2008 State Medicaid Fraud Control Units Annual Report. The report covers FY 2008 (October 1, 2007 – September 30, 2008.
The summary of the report provides background on the Medicaid Fraud Control Unit (MFCU) grant program, the number of states participating, the amounts recovered and [...]
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State Medicaid Fraud Control Units Annual Report FY 2008 
West Virginia Medicaid: States’ Changes Reshape Medicaid
West Virginia Department of Health & Human Services, Bureau of Medical Services (West Virginia Medicaid) gets a mention in today’s Washington Post, “States’ Changes Reshape Medicaid,” for taking the lead on implementing steps to transform the traditional role ofMedicaid. West Virginia’s efforts focus on making the Medicaid recipient more responsible for their care and treatment [...]
West Virgina Medicaid Initiative: Policy Meets Practicalities
David Harlow’s HealthBlawg provides very interesting commentary on West Virginia’s Medicaid Redesign efforts to implement change to the West Virginia Medicaid program, including pointing out a New England Journal of Medicine article, Personal Responsibility and Physician Responsibility – West Virginia’s Medicaid Plan.
The article examines the practical realities of implementing a Medicaid plan that includes [...]
Hospitals and Physicians should analyze the impact of Stark II
The Stark II Phase II regulations were published as an interim final rule on March 26, 2004 and will become effective on July 26, 2004.
The Stark law (aka federal physician self-referral law) prohibits physicians from referring Medicare patients for certain designated health services (DHS) to an entity with which the physician or a member of [...]