№ files_lp_3_process_9_42628
Administrative referral form for reporting suspected Medicaid fraud, waste, and abuse to the Oregon Health Authority Office of Program Integrity and the Department of Justice Medicaid Fraud Control Unit.
Division: Fiscal and Operations Division, Office of Program Integrity
Subject: Fraud, Waste and Abuse (FWA) Reporting
Document Type: Referral Submission Form
Submitting Entities: Oregon Health Authority Office of Program Integrity; DOJ Medicaid Fraud Control Unit
Submission Method: Email
Geographic Scope: Oregon
Related Program: Medicaid
Fields Included: Referral Information; Complainant Information; Other Contracting Entity Information; Provider Information; Suspected FWA Information; Investigation Status; Financial Exposure
Key Data Elements: FWA Detected Date; Referral Date; Agency Reporting History; Provider Identifiers; Consumer Identifiers; Allegation Summary; Claims Date Range
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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