May 2019

January 2019

Issue Briefs

Issue Brief: Encounter Data
This Issue Brief outlines how the OIG uses encounter data (a record of paid claims by MCOs and DMOs) to monitor and detect fraud, waste, and abuse. Issued January 17, 2019.

October 2018

May 2018

Issue Briefs

Issue Brief: Attendant Care Services
This issue brief provides an overview of attendant care services, which provide Medicaid clients the assistance they need to stay in their community, instead of living in a long-term care (LTC) facility.

October 2017

Issue Briefs

Issue Brief: Value-Based Payments
This issue brief provides an overview of value-based payments, which are structured to incentivize providers to delivery quality care in the most cost-effective manner.

September 2017

Issue Briefs

Issue Brief: Recovery of Funds
This issue brief provides an overview of new state and federal guidelines for Medicaid managed care organizations about the recovery of improper payments and how other states distribute recovered Medicaid funds.