• • Apply for Benefits
  • Search for Provider / Inspection Results
  • Helpful Telephone Numbers
  • Find a Form
  • Find Facilities and Locations
  • Learn About DPW

• • For Adults
  • For Children
  • For Disability Services

Home | Learn About DPW | Fraud and Abuse | MA Bulletins Relating to Program Integrity

MA Bulletins Relating to Program Integrity

Providers are required to comply with all Medical Assistance bulletins that are available on the DPW Web site and can be accessed on the Bulletin Search page. Some bulletins that specifically deal with regulatory compliance and other issues related to Program Integrity are listed here for your convenience.

Hospital Providers

• MA Bulletin 11-90-08 - Inpatient Hospital Services Retrospective Review Findings
• MA Bulletin 11-92-11 - Inpatient Hospital Services Retrospective Review Findings

Hospice Providers

• MA Bulletin 37-02-01 - BPI Retrospective Review of Hospice Services

Behavioral Health Providers

• MA Bulletin 29-02-03, 33-02-03, 41-0202 - Documentation and Medical Record-Keeping Requirements
• MA Bulletin 01-02-07, 29-02-04, 33-02-04, 41-02-03, 48-02-02, 49-02-04, 50-02-02 - Documentation Requirements for Prescribers

Pharmacy Providers

• MA Bulletin 19-02-08 - Misrepresentation of Prescriber on the Drug Claim

All Providers

• MA Bulletin 99-01-06 - OMAP Fraud and Abuse Hotline
• MA Bulletin 99-99-06 - Payment in Full
• MA Bulletin 99-02-13 - The Bureau of Program Integrity and the Medical Assistance Provider Self-Audit Protocol
• MA Bulletin 99-07-13 - Updated Regarding False Claims Provisions of Deficit Reduction Act of 2005 - Employee Education About False Claims Recovery
• MA Bulletin 99-11-05 - Provider Screening of Employees and Contractors for Exclusion from Participation in Federal Health Care Programs and the Effect of Exclusion on Participation