Medicaid Fraud Control Unit definition

Medicaid Fraud Control Unit means the South Carolina Medicaid Fraud Control Unit certified pursuant to federal law.

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Medicaid Fraud Control Unit means a duly certified Medicaid fraud control unit

Medicaid Fraud Control Unit. The unit established within the Office of the Attorney General to audit and investigate providers of services furnished under the Virginia State Plan for Medical Assistance, as provided for in the Code of Virginia § 32.1-320, as amended.

Examples of Medicaid Fraud Control Unit in a sentence

That the Contractor is responsible for payment of any valid audit exceptions found by HHSC, HHS or the Texas Attorney General's Medicaid Fraud Control Unit ("AG-MFCU").
Provider represents that it does not have a Medicaid provider agreement with the Department that is terminated, suspended, denied, or not renewed as a result of any action of the Department, CMS, HHS, or the Medicaid Fraud Control Unit of the State’s Attorney General.
Upon request, the records shall be made available to ODM and the Medicaid Fraud Control Unit.
ODM will forward information pertaining to alleged marketing violations to the Ohio Department of Insurance and the Medicaid Fraud Control Unit as appropriate.
PROVIDER shall keep such records as are necessary to disclose fully the extent of service provided to Medicaid recipients and shall furnish records and information regarding any claim for providing such service to OHCA, the Oklahoma Attorney General’s Medicaid Fraud Control Unit (MFCU hereafter), and the U.S. Secretary of Health and Human Services (Secretary hereafter) for six years from the date of provision.

More Definitions of Medicaid Fraud Control Unit

Medicaid Fraud Control Unit or “MFCU” means the Attorney General of the State of New York operating the program required by 42 C.F.R. Part 1007 and the Social Security Act.

Medicaid Fraud Control Unit. (MFCU) means the statutorily authorized criminal investigation unit charged with investigating and prosecuting the Medicaid fraud in the Utah Attorney General’s Office. Medically Necessary or Medical Necessity means Medically Necessary Service as defined by Utah Administrative Code R414-1-2- Member Services means a method of assisting Enrollees in understanding Contractor policies and procedures, facilitating referrals to participating specialists, and assisting in the resolution of problems and member complaints. The purpose of Member Services is to improve access to services and promote Enrollee satisfaction. MLR means Medical Loss Ratio as described in Article 12.5.

Medicaid Fraud Control Unit or “MFCU” means the Washington State Medicaid Fraud Control Unit which investigates and prosecutes fraud by health care, behavioral health and long term supports and services providers. The unit is part of the Criminal Justice Division of the Attorney General's Office.

Medicaid Fraud Control Unit means the Medicaid Fraud Control Unit in the Department of Law and Public Safety.

Medicaid Fraud Control Unit. (MFCU) means the statutorily authorized criminal investigation unit in the Utah Attorney General’s Office charged with investigating and prosecuting Medicaid Fraud. Medicaid Information Bulletin (MIB) means the official, periodic publication of the Division of Integrated Healthcare to update the Utah Medicaid Provider Manual or issue information to Medicaid Providers. Medical Loss Ratio (MLR) means the calculation the Contractor is required to quantify and report to the Department pursuant to 42 CFR § 438.8. Medically Necessary or Medical Necessity means medically necessary service as defined by Utah Administrative Code R414-1-2.

Medicaid Fraud Control Unit or “MFCU” means the Washington State Medicaid Fraud Control Unit which investigates and prosecutes fraud by health care providers. The unit is part of the Criminal Justice Division of the Attorney General's Office.