№ lp_2_3_33089
File format: docx
Character count: 2183
File size: 34 KB
A form to report fraud, waste, or abuse related to the IRIS program in Wisconsin, detailing required information for the report and contact instructions.
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
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / City:
Wisconsin
Topic:
Risk Management, Medicaid, Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Medicaid Services
Author:
Not specified
Target Audience:
IRIS program participants and consultants
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2019
State:
Wisconsin
Program:
IRIS
Subject:
One-time expense requests
Document type:
Participant education and acknowledgement form
Form number:
F-01205C
Issuing authority:
Department of Health Services, Division of Medicaid Services
Eligibility criteria:
IRIS program participation requirements
Reviewing body:
Department of Health Services
Required signatories:
Participant, Guardian (if applicable), IRIS Consultant
Year:
2017
Region / City:
Wisconsin
Theme:
Medicaid, IRIS Program
Document Type:
Instructional Form
Organization / Institution:
Department of Health Services
Author:
N/A
Target Audience:
IRIS Consultant Agencies
Effective Period:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2017
Region / City:
Wisconsin
Topic:
Medicaid Services
Document Type:
Form
Organization / Institution:
Department of Health Services, Division of Medicaid Services
Author:
Department of Health Services
Target Audience:
Medicaid service consultants and participants
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Region / City:
Wisconsin
Theme:
Public health, disability services
Document type:
Form, Request
Agency:
Department of Health Services, Division of Public Health
Author:
Not specified
Target audience:
IRIS participants, legal guardians, representatives
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2025
Region / City:
Wisconsin
Topic:
Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Public Health
Author:
Department of Health Services
Target Audience:
Managed Care Organizations, IRIS Consultant Agencies, PACE Organizations, Bureau of Quality & Oversight
Period of Effectiveness:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Contextual Description:
Form used by organizations to request disenrollment from the Family Care, PACE, Partnership, and IRIS programs in Wisconsin.
Year:
2023
Region / City:
Not specified
Topic:
Banking testing and assessment
Document Type:
Report
Organ / Institution:
Banks
Author:
Not specified
Target Audience:
Internal resolvability testing teams (IRT)
Period of validity:
Not specified
Date of approval:
Not specified
Date of amendments:
Not specified
Note:
Year
Region / City:
Wisconsin
Theme:
Health Services, Medicaid, Criminal Background Checks
Document Type:
Appeal Form
Organization / Institution:
Wisconsin Department of Health Services
Target Audience:
IRIS program participants
Contextual description:
A formal appeal request form for IRIS participants to challenge background check results that affect eligibility for Medicaid reimbursement of services by a participant-hired worker with criminal convictions.
Year:
2024
Region / City:
Wisconsin
Subject:
Medicaid Program, IRIS Budget Amendment
Document Type:
Form
Organization / Institution:
Department of Health Services, Division of Medicaid Services
Author:
Department of Health Services
Target Audience:
ICA Staff, Medicaid Participants
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
Wisconsin
Topic:
Healthcare Services, Risk Management
Document Type:
Agreement
Organization / Institution:
Department of Health Services
Author:
Unknown
Target Audience:
IRIS Participants, IRIS Consultants
Validity Period:
Ongoing
Approval Date:
Unknown
Modification Date:
Unknown
Year:
2023
Region / City:
National Finance Center
Topic:
Web-based application for payroll/personnel data access
Document Type:
Video
Institution:
National Finance Center
Audience:
Employees, Agencies, Security Officers
Period of validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2023
Region / City:
Wisconsin
Theme:
Medicaid, Healthcare Services
Document Type:
Instructional Form
Organization / Institution:
Department of Health Services, Division of Medicaid Services
Author:
Department of Health Services
Target Audience:
Participants and fiscal employer agents (FEAs) in the IRIS program
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2022
Region / City:
Wisconsin
Topic:
Health Services, Medicaid
Document Type:
Application Form
Agency / Institution:
Department of Health Services, Division of Medicaid Services
Author:
Not specified
Target Audience:
Potential IRIS program service providers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2017
Region / City:
Wisconsin
Topic:
Health and Safety, Incident Reporting
Document Type:
Instructional Form
Organ / Institution:
Department of Health Services
Author:
Wisconsin Department of Health Services
Target Audience:
IRIS Program Providers
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2017
Region / City:
Wisconsin
Topic:
Healthcare, Medicaid Services
Document Type:
Instructional Form
Organization / Institution:
Department of Health Services
Author:
Wisconsin Department of Health Services
Target Audience:
IRIS Program Participants
Effective Period:
Ongoing
Approval Date:
February 2017
Change Date:
N/A
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
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
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