Medicaid Fraud Control Unit definition

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

Medicaid Fraud Control Unit means a duly certified 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.

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").

• The Provider agrees to provide access upon request to its business or facility and all related Recipient information and records, including claims records, to the Department, the Medicaid Fraud Control Unit (MFCU) of the Maryland Attorney General’s Office, the U.S. Department of Health and Human Services, and/or any of their respective employees, designees or authorized representatives.

• The organization understands that all records shall be made available at once and without notice to authorized federal and state representatives, including but not limited to Delaware's Medicaid Fraud Control Unit, for the purpose of conducting audits to substantiate claims, costs, etc., and to determine compliance with federal and state regulations and statutes.

• 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.

More Definitions of 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.

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. (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 Service or Medical Necessity means Medically Necessary as defined by Utah Administrative Code R414-1-2(18).

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 means the Medicaid Fraud Control Unit in the Department of Law and Public Safe-

Medicaid Fraud Control Unit means that medicaid fraud control unit as provided for in section 56-226, Idaho Code.

Medicaid Fraud Control Unit means that medicaid fraud control unit as provided for in section56-226, Idaho Code.