Employee Education About False Claims Recoveries
(Deficit Reduction Act of 2005 (DRA) – Section 6032)
Nebraska requires all providers who meet the definition of “entity" to comply with the requirements of 1902 (a)(68) of the Social Security Act, P.L. 109-171, Federal Deficit Reduction Act, section 6032. Section 6032, Employee Education About False Claims Recoveries, applies to Nebraska Medicaid providers who annually receive payment of at least $5 million from the Nebraska Medical Assistance Program (Medicaid) and was effective January 1, 2007.
Nebraska will monitor this requirement by identifying entities who have received in any federal fiscal year payments of at least $5,000,000 and annually monitor their compliance with the requirements of section 6032. Nebraska will validate compliance by sampling the identified entities annually.
Nebraska Medicaid has incorporated by reference the DRA and any and all interpretations by the Centers for Medicare and Medicaid Services (CMS) into the Medicaid provider enrollment agreements.
Copies of CMS guidance letters can be accessed at the CMS website.
The State will oversee providers' compliance with this federal requirement, and providers may be subject to audit by the Department of Health and Human Services. An entity's failure to be in compliance may result in suspension from the Medicaid Program.
Other Audit Findings
Information on recent audit findings can be accessed here.