Provider Self-Disclosure

Self Disclosure Program for Providers

Because of the possibility that providers may become aware of improper payments during their internal review process, OIG has developed a provider self disclosure approach to encourage and offer incentives for providers to investigate and report matters that involve possible fraud, waste, abuse or inappropriate payment of funds, whether intentional or unintentional, under the state’s Medicaid program.

Self Disclosure Guidelines

Excluded Providers

If confirmation is required, please send your request, via secured email, to PRNotice@AZAHCCCS.gov

The request must include the following:

Individuals:

• Full legal name
• Social Security Number (last 4 digits is acceptable)
• Full date of birth (MM/DD/YYYY)

Entities:

• Full legal name (include a ‘doing business as’, if applicable)
• Federal Tax Identification Number (TIN)
• National Provider Identification Number (NPI), if applicable

DRA Training for Providers

Any provider who receives Medicaid payments under the State Plan from AHCCCS or its contractors of at least $5 million dollars must establish written policies that provide detailed information and ongoing training and education regarding the provisions under the Federal False Claims Acts and FERA to their employees to certify its compliance with the Public Law (PL) 109-171 Section 6032 of the 2005 Deficit Reduction Act (DRA) [42 U.S.C. §1396a(a)(68)].

AHCCCS OIG DRA Training Presentation