Course detail: LEOIMFA - Law Enforcement Officer's Introduction to Medicaid Fraud and Abuse
Presentation Topics:
  • What the Attorney General's Medicaid Fraud & Abuse Division can do for you.
  • Any crime that happens outside of the Medicaid environment also happens inside the Medicaid environment - and more.
  • Medicaid versus Medicare; understanding similarities and differences in public health insurance - and what it means to law enforcement officers.
  • Assumption busting examples of the full range of crimes in, and associated with, Medicaid fraud & abuse.
  • Medicaid provider fraud versus beneficiary fraud.
  • The Medicaid Fraud & Abuse Division of the Office of Attorney General; where we are, who we are, and what we do - with you and in your communities.
  • State and local partners.
  • Federal partners.
  • Overt - out in the open - criminal investigations.
  • Covert - undercover - criminal investigations.
  • Medicaid Fraud & Abuse Division's unique jurisdiction.
  • Medicaid fraud statutes and regulations.
  • Kansas Sentencing Guidelines and special Medicaid fraud sentences.
  • Investigation tools unique to the Medicaid Fraud & Abuse Division.
  • Tips for first responding officers at crime scenes where Medicaid fraud is likely to exist.
  • Mistreatment of dependent adults, and mistreatment of elder persons; physical injury - financial - deprivation.
  • Durable power of attorney, trusts, and other fiduciary - it's not just a civil matter.
  • Pill Mills and Pill Seekers - it is almost inevitably Medicaid fraud.
  • Abuse, neglect and exploitation - mandatory reporters.
  • Nursing homes - they are not a law enforcement nuisance - recognize how they can be felony crime scenes.
  • Personal care attendant fraud and the Medicaid program.
  • Durable medical equipment fraud and the Medicaid program.
  • Transportation fraud and the Medicaid program.
  • Doctor, dentist, mental health treatment fraud and the Medicaid program.
  • Medicaid fraud and abuse case studies.
  • What local officers can do to spot Medicaid provider fraud and what to do about it.
  • Medicaid fraud and abuse is a crime; it is also a civil wrong - Medicaid fraud is a covered offense in the Kansas Standard Asset Seizure and Forfeiture Act.
  • The Kansas False Claims Act.

Available sessions