Tag: Medicaid Administration

By Cory Gaines | Commentary, Colorado Accountability Project HCPF really did accidentally pay millions in Medicaid claims. In an earlier op ed about Colorado's Medicaid expansion (see the first link below) and how that puts our state at higher risk of fraud, waste, and/or abuse, I asked the Colorado Division of Healthcare Policy and Financing, HCPF, the state unit which adminsiters Medicaid, about what they do to prevent or stop such problems.Their spokesperson responded with:“We constantly look out for fraud, waste and abuse (FWA) across all services & programs, but some programs or services are more susceptible to FWA than others. We have various processes/procedures in place for ‘high risk’ services to prevent inappropriate payments from going out the door. Tho...