RD351 - Status of Improper Payment Prevention Pilot – August 1, 2019

Executive Summary:

The Department of Medical Assistance Services (DMAS) has been directed to establish a data analytics pilot to mitigate the risk of improper payments to all Medicaid managed care and fee-for-service providers. The development of this plan is underway, however, progress has been impacted by an amendment approved during the 2019 Session that broadened the scope of work as well as vendor requirements. DMAS has re-worked the RFP and project plan as a result of these changes, and looks to have the project fully implemented by March 2020.