№ lp_1_2_27217
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Instructional guide for staff on how to identify, investigate, and report suspected Medicaid fraud, waste, and abuse.
Note:
Year
Theme:
Medicaid fraud
Document type:
Instructional guide
Organization / Institution:
Department of Social and Health Services (DSHS)
Author:
Cheryl Timmons
Target Audience:
Staff in Medicaid-funded programs
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2022
Region / City:
Manchester
Subject:
Fraud prevention and investigation
Document Type:
Response plan
Organ / Institution:
University of Manchester
Author:
Chief Financial Officer
Target Audience:
University staff
Period of validity:
Ongoing
Approval Date:
16th February 2022
Review Date:
12th June 2024
Year:
2025
Document Type:
Policy
Sector:
Financial Services / Corporate Compliance
Legislation Reference:
Economic Crime and Corporate Transparency Act 2023, Corporate Offences of Failure to Prevent Criminal Facilitation of Tax Evasion
Version:
3.0
Previous Versions:
2.0, 1.0
Policy Owner:
[Insert Firm Name/Logo]
Approval Date:
11/2025
Review Period:
Annually
Scope:
Incorporated bodies and partnerships, including small and large firms
Training Requirement:
Annual staff fraud awareness training and induction
Data Security Measures:
Required as part of fraud prevention
Governance:
Board/Partner/Senior Management oversight and review
Supporting Documents:
Home Office and HMRC guidance, FCA Financial Crime Guide
Note:
Year
Subject:
Organic Fraud Prevention
Document Type:
Form
Year:
2024/25
Region / City:
Health Board
Theme:
Counter Fraud, Bribery, and Corruption Awareness
Document Type:
Work Plan
Organisation:
Health Board
Author:
Director of Finance
Target Audience:
Staff, Management, and Risk Officers
Period of Validity:
2024-2025
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2024
Region / City:
UK, Hong Kong
Topic:
Cybersecurity, Deepfake Technology, Fraud Prevention
Document Type:
Case Study
Organization / Institution:
Trend Micro, CNN
Author:
Not specified
Target Audience:
Businesses, Corporate Executives, IT Security Teams
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Fraud Reporting
Document Type:
Form
Organ / Institution:
Victoria Police
Year:
N/A
Region / City:
N/A
Topic:
Food Safety
Document Type:
Program Document
Organization:
N/A
Author:
N/A
Target Audience:
N/A
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2017
Region / City:
United Kingdom
Topic:
Online Fraud, Government Response
Document Type:
Report Transcript
Organization:
National Audit Office
Author:
Louise Bladen
Target Audience:
General public, policymakers, law enforcement
Period of Action:
2016 onwards
Approval Date:
2017
Date of Changes:
Not specified
Note:
Year
Title:
Fraud Risk Management Toolkit
Update date:
January 19, 2022
Type of document:
Internal guide
Subject:
Fraud risk management and response to actual or suspected fraud
Structure:
Four-phase framework
Phases:
Report Incidents of Actual or Suspected Fraud; Internal Coordination and Immediate Response; Chart the Right Path; Prevent Reoccurrence
Intended audience:
Those charged with governance; individuals responsible for fraud risk management
Scope:
Organizational response to fraud incidents
Key components:
Reporting procedures; confidentiality requirements; assessment criteria; forensic engagement; internal controls improvement
Related functions:
Human Resources; internal audit; compliance; accounting; law enforcement (in specific circumstances)
Year:
2026
Region / City:
Australia
Subject:
Fraud complaint handling
Document Type:
Guide
Organization:
AFCA (Australian Financial Complaints Authority)
Target Audience:
Financial firms
Scope:
External dispute resolution responses
Sections Included:
Complaint summary, Policy details, Complainant and financial firm positions, Reasons for position, Jurisdictional issues, Proposed resolutions, Supporting information
Year:
2023
Region / City:
Ashford, Medway, Kent, Lewes, Eastbourne, Folkestone, Hythe, Dover, Gravesham, Wealden, Brighton & Hove, Canterbury
Topic:
Housing fraud awareness, communication materials, funding
Document Type:
Meeting Minutes
Organization / Institution:
Kent Housing Group
Author:
Adam Simmonds
Target Audience:
Housing professionals, communication teams, housing management teams
Period of Effectiveness:
November 2023
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2014
Organization:
sportscotland
Document type:
Policy Toolkit / Guidance
Lead officer:
April Law-Reed
Other contributors:
Michelle Borland
Assessment date:
31/02/14
Scope:
Internal staff, Board members, contractors, consultants
Policies included:
Fraud Awareness, Whistle Blowing, Conflict of Interest, Gifts and Gratuities, Staff Anti-Corruption (Sports Betting)
Purpose:
Establish standards, processes, and procedures to prevent fraud and corruption
Related plans:
G3 (Legal) 2013-15 Business Plan
Consultation:
Internal Finance Team, HR, SMT, Board, Ethics Committee
Compliance:
Equality Act 2010
Target group:
All staff and representatives of sportscotland
Year:
2019
Region / City:
Wisconsin
Topic:
Fraud reporting
Document Type:
Form
Organization / Institution:
Department of Health Services, Division of Medicaid Services
Author:
Not specified
Target Audience:
IRIS program participants, citizens with knowledge of fraud
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2021
Region / City:
Gloucestershire
Subject:
Counter Fraud, Bribery, and Corruption
Document Type:
Policy
Authoring Organization:
NHS Gloucestershire Counter Fraud
Target Audience:
NHS staff and external contractors
Period of Validity:
Ongoing
Approval Date:
14th September 2021
Review Date:
September 2024
Date of Changes:
September 2020
Note:
Year
Topic:
Medicaid Services, People with Disabilities, Case Management
Document Type:
Guide
Organization / Institution:
Oregon Department of Human Services (ODHS)
Target Audience:
Case Managers, Social Workers, Healthcare Providers
Year:
2024
Region / City:
Oregon
Theme:
Medicaid, Long-Term Services & Supports
Document Type:
Checklist
Agency / Institution:
Oregon Department of Human Services (DHS)
Author:
Not specified
Target Audience:
Eligibility Case Managers, Oregon ACCESS users
Period of Action:
Not specified
Approval Date:
9/11/24
Modification Date:
9/11/24
Year:
2023
Region / City:
United States
Topic:
Medicaid, 340B Program
Document Type:
Instructional Form
Organization:
HRSA (Health Resources and Services Administration)
Author:
HRSA
Target Audience:
Covered entities, contract pharmacies, Medicaid providers
Effective Period:
Ongoing
Approval Date:
March 5, 2010
Modification Date:
December 12, 2014
Year:
2023
Region / City:
Oregon
Topic:
Medicaid, Health Care Programs
Document Type:
Guide
Agency / Institution:
Oregon Project Independence
Author:
Oregon Department of Human Services
Target Audience:
Health care providers, Medicaid recipients
Effective Period:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / city:
Washington State
Topic:
Medicaid Alternative Care (MAC), Tailored Supports for Older Adults (TSOA), Family Caregivers
Document type:
Policy Description
Organ / institution:
Washington State Department of Social and Health Services (DSHS)
Author:
Resa Lee-Bell, Adrienne Cotton
Target audience:
Unpaid family caregivers, healthcare professionals, Medicaid recipients
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Note:
Description of the document