Health Care Fraud Prevention Program Expansion and SMP Capacity Building Grants

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With this Program Announcement, the Centers for Medicare and Medicaid Services (CMS) and the Administration on Aging (AoA) seek to expand the capacity of the Senior Medicare Patrol (SMP) program to reach more Medicare and Medicaid beneficiaries, their families and caregivers, with the message of fraud prevention and identification, with additional funding targeted to designated high fraud states. Within this Program Announcement, there are three (3) distinct funding opportunities being made available to the 54 current SMP project grantees. Funding levels and application requirements were determined based on data from the Centers for Medicare and Medicaid Services (CMS), who has identified 18 states with the highest incidences of health care fraud or at the greatest risk of fraud. Further, the HHS/DOJ Health Care Fraud Prevention and Enforcement Force Action Team (HEAT), has established Strike Force Units in seven (7) cities, which are targeted for additional intensified strategies to combat health care fraud. The following information provides an overview of each of the three (3) funding opportunities, including which states are eligible to apply for each funding opportunity, within this Program Announcement: A. SMP High Fraud States with HEAT Joint Strike Forces Health Care Fraud Prevention Program Expansion and SMP Capacity Building GrantsEligible Applicants: Only current SMP project grantees from CA, FL, LA, MI, NY, and TX are eligible to apply under this funding opportunity. Funding Ceiling: $380,000-$430,000, subject to the availability of fundsB. SMP High Fraud States Health Care Fraud Prevention Program Expansion and Capacity Building GrantsEligible Applicants: Only current SMP project grantees from AZ, IL, MA, MD, NC, NJ, GA, NM, NV, OH, PA, and VA are eligible to apply for this funding opportunity.Funding Ceiling: $300,000, subject to the availability of fundsC. SMP Capacity Building GrantsEligible Applicants: Only current SMP project grantees from AK, AL, AR, CO, CT, DC, DE, Guam, HI, IA, ID, IN, KS, KY, ME, MN, MO, MS, MT, ND, NE, NJ, OK, OR, PR, RI, SC, SD, TN, UT, Virgin Islands, VT, WA, WI, WV, and WY are eligible to apply for this funding opportunity.Funding Ceiling: $20,000-$150,000, subject to the availability of funds

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