Office of the Medicaid Inspector General

1. Office of the Medicaid Inspector General Bart Dickinson, Chief Counsel

2. Creation of the OMIG • On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office.

3. Creation of the OMIG • On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office. • Now codified Ark. Code Ann. §20-77-2501

4. Creation of the OMIG • On April 23, 2013, Act 1499 was signed into law creating the Arkansas Medicaid Inspector General’s Office. • Now codified Ark. Code Ann. §20-77-2501 • Outlines OMIG’s Purpose Authority Duties

5. Mission Statement of the Arkansas Medicaid Inspector General Pursuant to Ark. Code Ann. §20-77-2505, the Office of the Medicaid Inspector General, (OMIG) shall: Prevent, detect, and investigate fraud and abuse within the medical assistance program; (2) Refer appropriate cases for criminal prosecution; (3) Recover improperly expended medical assistance funds; (4) Audit medical assistance program functions; and (5) Establish a medical assistance program fraud and abuse prevention.

6. OMIG Duties • Perform former DMS Program Integrity functions including: audits; reviews; and investigations

7. OMIG Duties • Perform former DMS Program Integrity functions including: audits; reviews; and investigations • Pursue civil and administrative enforcement actions

8. OMIG Duties • Perform former DMS Program Integrity functions including: audits; reviews; and investigations • Pursue civil and administrative enforcement actions • Refer cases of fraud and criminal activity • Providers AND Beneficiary fraud

9. OMIG Duties cont. • Utilize subpoena power for witnesses and documents

10. OMIG Duties cont. • Utilize subpoena power for witnesses and documents • Recommend and implement policies to reduce fraud and abuse

11. OMIG Duties cont. • Utilize subpoena power for witnesses and documents • Recommend and implement policies to reduce fraud and abuse • Monitor, review, and work with DHS/DMS

12. OMIG Duties cont. • Utilize subpoena power for witnesses and documents • Recommend and implement policies to reduce fraud and abuse • Monitor, review, and work with DHS/DMS • Work with Providers

13. Work with Providers • Conduct Educational Programs • Communicate with Providers • Develop Protocols for Self-Disclosure • Establish Policies and Procedures for Audits • Create a Model Provider Compliance Program

14. Features of OMIG website • Online Referral and Fraud complaint form • Medicaid Fraud Hotline information • Medicaid Provider Exclusion List • Provider Enrollment information • Provider Self-Disclosure Protocol • Provider Compliance Program • News about the Office of the Medicaid Inspector General • Links to other federal and state agencies or resources • Education on Medicaid fraud, waste and abuse

17. Contact Information Office of the Medicaid Inspector General P.O. Box 1437, Slot S-414 Little Rock, Arkansas 72203-1437 501-683-8349 FAX: 501-682-8350 _________________________________________________ Jay Shue, Medicaid Inspector General Office of the Medicaid Inspector General 323 Center Street, Ste. 1200 Little Rock, AR 72201 501-683-2976 Jay.Shue@arkansas.gov Bart Dickinson, Chief Counsel Office of the Medicaid Inspector General 323 Center Street, Ste. 1200 Little Rock, AR 72201 501-683-2978 Bart.Dickinson@arkansas.gov Robin Raveendren, Program Integrity Director Office of the Medicaid Inspector General Donaghy Plaza West, 700 Main Street Little Rock, AR 72201 501-682-8173 Robin.Raveendran@arkansas.gov