TAHC&H Integrity One Program

TAHC&H Code of Ethics (PDF file) Anti-Referral and Anti-Kickback Laws: A Guide for Home Health Agencies and Hospices Operating in Texas (PDF file) Reporting Fraud & Abuse in Home Care (PDF file)   Information Resources  False Claims Act Information (Medicare and Medicaid) Federal FCA Provisions Texas FCA Damages and Penalties TAF False Claims Act Legal Center Frequently asked Questions on Federal FCA Letter to State Medicaid Directors 3 22 07 FAQ Chart 3 20 07  OIG Medicare Home Health Agency Compliance Plan Guidance Compliance Plan Power Point Presentation  Outline of Affordable Care Act Provider Integrity Provisions OIG Advisory Opinions Related to Home Care and Hospice Advisory Opinion No. 06-01 (regarding a home health agency’s practice of providing prospective customers with a free preoperative home safety assessment) Advisory Opinion No. 07-08 (regarding concerning a durable medical equipment supplier’s proposed arrangement to provide patients with a free in-home congestive heart failure assessment) Advisory Opinion No. 03-4 (regarding a proposed program by a provider of home health care services to provide free medical-alert pagers and pager monitoring service to homebound patients during the period such patients are receiving the company's home health services) Advisory Opinion No. 01-20 (regarding a payment arrangement between a Medicare-certified hospice and certain nursing facilities for services provided to residents of such facilities who are eligible both for Medicaid and Medicare hospice benefits ["Dually Eligibles"]) OIG Criminal Intervention Cases and Judgments- Federal Enforcement Actions Reporting Resources   Medicare Fraud and Abuse Investigation Contractor: Health Integrity Detection/Tips Medicare Fraud- click here CMS Letter on Reporting Home Health Fraud and Abuse How to Report Fraud and Abuse in Federal (Medicare) or State (Medicaid) Programs Provider Exclusions List:   Federal          State