Senior Medicare Patrol Projects Empowering Seniors To Prevent Health Care Fraud

The summary for the Senior Medicare Patrol Projects Empowering Seniors To Prevent Health Care Fraud grant is detailed below. This summary states who is eligible for the grant, how much grant money will be awarded, current and past deadlines, Catalog of Federal Domestic Assistance (CFDA) numbers, and a sampling of similar government grants. Verify the accuracy of the data provides by visiting the webpage noted in the Link to Full Announcement section or by contacting the appropriate person listed as the Grant Announcement Contact. If any section is incomplete, please visit the website for the Administration on Aging, which is the U.S. government agency offering this grant.
Senior Medicare Patrol Projects Empowering Seniors To Prevent Health Care Fraud: The Department of Health and Human Services (DHHS) Office of Inspector General estimates that Medicare loses billions of dollars each year due to errors, fraud, and abuse. These losses are due, to a considerable extent, to the many ways in which the funds are disbursed as well as to the sheer magnitude of health care expenditures. Both factors increase the probability of errors while opening wider opportunities for fraud and abuse. While the vast majority of health care providers are honest, those operating unscrupulously, intent on obtaining vital health care dollars illegally, have done so based on the perception that the risks of detection have lessened over the years. Beginning in 1997, the AoA established twelve local demonstration projects designed to recruit and train retired professionals, such as doctors, nurses, teachers, lawyers, accountants, and others to identify and report error, fraud, and abuse. Implemented through the Omnibus Consolidated Appropriation Act of 1997 (Public Law 104-208), Senate Report 104-368 noted that "senior citizens are our best front line defense against these losses, but they often don't have the information and experience needed" to recognize and accurately report cases of error, fraud, and abuse. The Report further noted that "thousands of retired accountants, health professionals, investigators, teachers, and others with appropriate training could serve as volunteer expert resources and educators for seniors in their communities." Accordingly, these projects have worked to test different models designed to train retirees in local communities to serve as both volunteer resources and educators for other Medicare beneficiaries, and to build and strengthen community coalitions of older Americans and service providers. In 2011, the SMP Program will include an estimated 54 project grants in all states, the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands. SMP projects have made great progress in recruiting and training retired professionals and other senior citizens on Medicare error, fraud and abuse. These volunteers work in their communities, senior centers and elsewhere to educate Medicare beneficiaries, family members, and caregivers to actively protect themselves against fraudulent, wasteful and abusive health care practices by reviewing their Medicare benefit statements and reporting suspected errors. SMP projects actively work to disseminate SMP fraud prevention and identification Information through the media, outreach campaigns, community events and many other means. Through these efforts, beneficiaries contact the projects with inquiries and complaints regarding Medicare, Medicaid and other health care or related consumer issues. Another key role of the SMP project is to address such inquiries and complaints, either by resolving matters directly or by referrals to appropriate entities. SMP projects refer numerous beneficiary complaints to state and national fraud control /consumer protection entities, including Medicare contractors, state Medicaid fraud control units, state attorneys general, the OIG, and the Centers for Medicare & Medicaid Services (CMS). Capturing SMP program activity data, to include tracking and reporting of beneficiary complaints, referrals, savings and other outcomes in the SMART FACTS system is also a key function of the SMP project. The AoA also receives Health Care Fraud and Abuse Control (HCFAC) funding as authorized by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The HCFAC funds, which are received from the Medicare Trust Fund, are used to support infrastructure, technical assistance, and other SMP program support and capacity-building activities designed to enhance program effectiveness. The National Consumer Protection Technical Resource Center (the Center), an AoA grantee, provides training and technical support including mentoring of new projects, disseminating best practices and innovations, technical assistance, training and support of SMP project implementation and effective use of AoA's SMART FACTS management tracking and reporting system. In addition, HCFAC funding supports a National Hispanic SMP project focused on targeted outreach to Hispanic beneficiaries, their families and caregivers.
Federal Grant Title: Senior Medicare Patrol Projects Empowering Seniors To Prevent Health Care Fraud
Federal Agency Name: Administration on Aging
Grant Categories: Income Security and Social Services
Type of Opportunity: Discretionary
Funding Opportunity Number: HHS-2012-AOA-MP-1202
Type of Funding: Cooperative Agreement
CFDA Numbers: 93.048
CFDA Descriptions: Special Programs for the Aging_Title IV_and Title II_Discretionary Projects
Current Application Deadline: Mar 19, 2012
Original Application Deadline: Mar 19, 2012
Posted Date: Feb 15, 2012
Creation Date: Feb 15, 2012
Archive Date: Apr 18, 2012
Total Program Funding: $4,600,000
Maximum Federal Grant Award: $180,000
Minimum Federal Grant Award: $0
Expected Number of Awards: 28
Cost Sharing or Matching: Yes
Applicants Eligible for this Grant
State governments - County governments - City or township governments - Special district governments - Public and State controlled institutions of higher education - Native American tribal governments (Federally recognized) - Native American tribal organizations (other than Federally recognized tribal governments) - Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education - Private institutions of higher education - Others (see text field entitled "Additional Information on Eligibility" for clarification)
Additional Information on Eligibility
Faith-based organizations, community-based organizations, lesbian, gay, bisexual, transgender LGBT) organizations and hospitals
Grant Announcement Contact
Sean Lewis Grants Management Specialist Phone 202-357-3445

Agency Contact []
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