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OIG Advisory Opinion No. 18-11.pdf

AdvOpn18-11.pdf
Preview of OIG Advisory Opinion No. 18-11
🔗 Source: oig.hhs.gov
📊 Size: 298 KB
👤 Author: HHS-OIG-OCIG
⬇️ Downloads: 70

Summary

The Office of Inspector General issued an advisory opinion regarding a health plan's proposal to pay its contracted providers to increase Early and Periodic Screening, Diagnostic, and Treatment services to Medicaid beneficiaries. The OIG concluded that the proposed arrangement would not generate prohibited remuneration under the anti-kickback statute and would not impose administrative sanctions. The arrangement involves the health plan making per-Enrollee incentive payments to network providers that meet certain benchmarks for increasing EPSDT services. The OIG's opinion is limited to the proposed arrangement and does not address any ancillary agreements or arrangements.

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Description

The Office of Inspector General issued an advisory opinion regarding a health plan's proposal to pay its contracted providers to increase Early and Periodic...

Technical Information

  • File Format: PDF
  • File Size: 298 KB
  • Pages: 11
  • Language: EN
  • Author: HHS-OIG-OCIG
  • Total Downloads: 70
  • Last Updated: 1 month ago

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