Course detail: LEOIMFA - Law Enforcement Officer's Introduction to Medicaid Fraud and Abuse

The Medicaid Fraud and Abuse Division of the Kansas Attorney General's Office, investigates and prosecutes health care providers who defraud the Medicaid program and complaints of patient financial or physical abuse and neglect by Medicaid providers.  

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