*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***

Chapter 29 - Quality Assurance

Effective:  December 1, 2006

 

Archived:  June 1, 2016

Quality Assurance

It is important to maintain the highest level of accuracy when inputting information into health care computer systems and determining people’s health care eligibility.

In an effort to maintain MA program integrity, a system has been set in place as mandated by the federal government to provide data matching with certain agencies. This system is called the Income and Eligibility Verification System (IEVS). See the following for policy regarding IEVS:

IEVS.

IEVS Data Security.

Types and Frequency of IEVS Matches.

New Hire Messages.

Processing IEVS Matches.

Client Cooperation with IEVS.

IEVS Overpayment Process.

Also included in this chapter is policy regarding fraud.

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