OIG provides new reference for MCOs

Managed Care Organizations (MCOs) have a new chapter in the Uniform Managed Care Manual (UMCM) that consolidates existing Office of Inspector General (OIG) deliverables and guidance into one place. The UMCM outlines six specific deliverables to the OIG and provides additional technical guidance for operationalizing contract requirements.

The new information includes descriptions of each deliverable and references to applicable state and federal law, rules and guidance. It includes the necessity for MCOs to develop a plan to prevent and reduce fraud, waste and abuse. Here is a link to chapter 5.5.1 in the UMCM.