2018 State HIT Connect Summit

Although people needing LTSS make up only about 20% of the Medicaid population, they
account for as much as 80% of Medicaid expenditures. Additionally, the process needed to meet LTSS
eligibility requirements is complex, time-consuming and costly. Thus, many state programs are looking to use various types of technology -- Electronic Visit Verification (EVV), Automated Verification (AV), and Financial Transaction Analyses (FTA) systems -- to reduce Medicaid costs, as well as identify potential fraud and abuse.

In this round table, discussion leaders will address how different states are using technology to save
time and money by pre-emptively identifying fraudulent hours from home care workers, as well as
unreported assets and asset transfers in the financial eligibility process for LTSS Medicaid populations.
We will hear what is working successfully and what improvements are needed in preventing fraud and
abuse in costly LTSS programs.