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2(5) requires the department to establish guidelines for determination of preference for employer groups based upon federal poverty level, eligibility criteria, health care incentive payment procedures, program participating insurer and employer reporting requirements, and administrative guidelines for the ICARE Program.

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NECESSITY, FUNCTION, AND CONFORMITY: KRS 304.2-110(1) authorizes the commissioner to promulgate administrative regulations necessary for or as an aid to the effectuation of any provision of the Kentucky Insurance Code as defined in KRS 304.1-010. Presenting to the Legislative Committees.Peggy King Legislative Reference Library.Last Effective Dates, Expirations, and Certifications.Report suspected fraud to CMS by calling 1.800.MEDICARE (1.800.633.Review claims for any you don’t recognize.Record doctors’ appointments and services.Remember the four R’s for fighting fraud: It is important to remember that you are the first line of defense in protecting yourself against Medicare fraud, and should make a habit of monitoring online accounts.

Do not give your Medicare or Social Security information over the telephone.

Simply hang up the phone if someone calls you claiming to be conducting a health survey and asks for your Medicare number.

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Walk away if people approach you in parking lots, shopping centers or other public areas and offer free goods or services in exchange for your Medicare number.

When fraud or abuse is suspected, they make referrals to the appropriate state and federal agencies for further investigation. When Medicare beneficiaries, caregivers, and family members bring their complaints to the SMP, the SMP makes a determination about whether fraud, errors, or abuse is suspected. Protecting older persons’ health, finances, and medical identity while saving precious Medicare dollars is a cause that attracts civic-minded Americans. SMPs give presentations to groups, exhibit at events, and work one-on-one with Medicare beneficiaries. Administration for Community Living (ACL). Department of Health and Human Services (HHS), U.S. SMPs are grant-funded projects of the federal U.S. Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education.

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Identify different types of Medicare and Medicaid Fraud and explain how to report and prevent them.

Facilitate coordination of benefits amongst providers (Medicare, Medicaid, Tricare, etc).

Screen for and apply to cost-savings programs such as the Low Income Subsidy (LIS) and the different Medicare Savings Programs.Plan comparison during Medicare Open Enrollment (October 15-December 7).Assistance with Medicare Enrollment for Parts A, B, C and D.Instruction on how to read Medicare Summary Notices.Explanation of Medicare benefits including preventive services.Some of the many services a certified ICARE counselor can provide include: The ICARE program is a free, confidential service through which certified insurance counselors can provide clear, objective information. The ICARE program is federally funded to provide health insurance counseling for Medicare and its many parts. For seniors in South Carolina, the State Health Insurance Program (SHIP) is known as ICARE, Insurance Counseling Assistance and Referral for Elders (ICARE).