RELEASE NUMBER: 2020-053_COVID Fraud. Medicaid Fraud Control Unit | Arizona Attorney General Instead of reimbursing providers a percentage of their charges, they will get a flat rate per patient per day. Tamarria Denga owns and operates COS 1, LLC. As a result, AHCCCS has continued, for nearly eight years, to pay hundreds of dollars every month in capitation payments for members who may be ineligible for health care coverage, Perry said. PHOENIX, Ariz. Dale Henson, 53, and his wife Zoila Henson, 53, both of Chandler, Arizona, were arrested on Wednesday for fraudulently billing the Arizona Healthcare Cost Containment System and for fraud involving receipt of COVID-19 Economic Injury Disaster Loan funds. ) or https:// means youve safely connected to the .gov website. RELEASE NUMBER: 2021-054_Hensons. The Arizona Attorney General's Office conducted this investigation along with investigators from the Office of Inspector General for the U.S. Department of Health and Human Services and the Office of Inspector General for AHCCCS. 605 0 obj <>stream PDF Arizona Health Care Cost Containment SystemMedicaid Fraud and Abuse AHCCCS said the proposed change may . For Star subscribers: The Arizona Department of Education said it was inundated with last-minute requests to get funding. Thanks to the diligent work of Arizonas COVID-19 Fraud Task Force, the FBI identified and dismantled fraud rings in Arizona which were trying to exploit the COVID-19 pandemic. must be sent to the person filing the grievance or request for investigation, to the AHCCCS OHR for persons who need Special Assistance, and to other parties as required by A.A.C. The following incident types are required to be reported by the provider: Providers must submit incident, accident, or death reports involving sentinel events within 6 hours of the occurrence. Office of Special Investigations (OSI)/AHCCCS Office of Inspector General (AOIG). x}n0. Main Office: 567 0 obj <> endobj The Health Plan follows the investigation process described in Arizona Administrative Code Title 9, Chapter 21 (9 A.A.C. AHCCCS said it was having difficulty in subpoenaing needed information from the member and the members employer because the member had moved and changed jobs multiple times since 2014.
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ahcccs investigations