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1200 Negron Drive

Hamilton Township, NJ 08691

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Description

Several state agencies -- the Medicaid Fraud Division (MFD) of the State Comptroller’s Office, the Division of Medical Assistance and Health Services (DMAHS) in the Department of Human Services, and the Medicaid Fraud Control Unit (MFCU) in the Attorney General’s Office -- are working together with New Jersey's Managed Care Organizations (MCOs) to identify and recover funds attributable to fraud, waste and abuse in the Medicaid program. This session is designed to give stakeholders a better understanding of the best practices to prevent, avoid, and detect fraud, waste, and abuse in the Medicaid/Managed Care program.


Goals of This Presentation – To Help Attendees Understand:

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

Speakers:

Representatives from Aetna, Amerigroup, Horizon NJ Health, UnitedHealthcare, Wellcare and the State agencies listed above.


Panel Discussion:

Please note there will also be a panel discussion where our speakers will answer previously submitted questions from various provider areas regarding fraud, waste, and abuse. Please submit your questions before September 16, 2019 to provider-education@osc.nj.gov

Registration is limited to 190 attendees.


  • All attendees shall be prepared to produce government issued identification to building security.
  • No food or beverages are allowed in the Auditorium.
  • Attendees are to utilize Auditorium Parking in rear of building. Carpooling is encouraged.

For more information or if you require special accommodations, please call Tracy Livingston at 609-789-5054 or email him at 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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1200 Negron Drive

Hamilton Township, NJ 08691

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