D EP \RTMENT OF H EALTH AND H UMAN SERVICES 
OFFICE OF INSPECTOR GENERAL 
WA HINGT01.  DC  2020 I 
JUN  0 8 2017 
TO: 	 Josh Hodges 
Acting Deputy Administrator for the Center for Integrated Programs 
::::t::::nfor
(Iilf;(~ ~ 
FROM: 
Deputy Inspector General 

for Evaluation and Inspections 

SUBJECT: 	 Memorandum Report:  2016 Performance Data for the Senior Medicare Patrol 
Projects, OEI-02-17-00220 
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) 
projects for 2016.  The Office oflnspector General (OIG) has collected these data since 
1997.  In July 2010, the Administration on Aging (AoA), which is now part of the 
Administration for Community Living (ACL), requested that OIG continue to collect and 
report performance data for the projects to support its efforts to evaluate and improve their 
performance.  OIG reports this performance data on an annual basis.  In 2015, ACL 
substantially changed the performance measures.  As a result, the measures presented in this 
report differ from those presented in prior years.  (For last year's report, which covered data 
from 2015, ACL requested that OIG focus on the performance measures that had not 
changed.) 
SUMMARY 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
senior citizens to prevent, recognize, and report health care fraud, errors, and abuse.  These SMP 
volunteers then participate in outreach events to help educate other Medicare and Medicaid 
beneficiaries to do the same.  In 2016, the 53 SMP projects: 
  had 6,126 active team members; 
  conducted 26,220 group outreach and education events; and 
  had 195,386 individual interactions with, or on behalf of, a Medicare beneficiary.  Page 2  Josh Hodges 
 
The projects had the following results: 
   $163,904 in cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others; 
   $53,449 in total savings to beneficiaries and others;  
   $2,672 in expected Medicare recoveries that were attributable to the projects; and 
   no Medicaid recoveries. 
 
We note that the projects may not be receiving full credit for recoveries, savings, and cost 
avoidance attributable to their work.  It is not always possible to track referrals to Medicare 
contractors or law enforcement from beneficiaries who have learned to detect fraud, waste, and 
abuse from the projects.  In addition, the projects are unable to track the potentially substantial 
savings derived from  a sentinel effect, whereby Medicare beneficiaries scrutiny of their bills 
reduces fraud and errors. 
 
BACKGROUND  
 
There is 1 SMP project in each of the 50 States, the District of Columbia, Puerto Rico, and 
Guam, for a total of 53 SMP projects.  In 2016, funding for the projects totaled $18 million in 
Health Care Fraud and Abuse Control Program (HCFAC) funding.  Of that $18 million, 
$3.3 million  supported infrastructure, technical assistance, and other SMP project activities, and 
$14.7 million went to SMP projects to help beneficiaries prevent, detect, and report Medicare 
fraud, errors, and abuse. In 2015, funding for the projects totaled $17.6 million. 
 
Performance Measures    
Since the beginning of the program, ACL has modified the performance measures in a number of 
ways.  In 2007, the projects were required to begin measuring cost avoidancethe health care 
expenditures for which Medicare, Medicaid, a beneficiary, or another entity (e.g., a secondary 
health insurer or a pharmacy) was relieved of responsibility for payment as a result of the 
projects. In 2012, ACL expanded the performance measures for both Medicare and Medicaid 
recoveries to account for expected recoveries as well as actual recoveries.  This is consistent with 
the way OIG reports its recoveries.1    
 
In 2015, ACL changed the performance measures, with the goal of aligning them  more closely 
with the SMP projects outcomes.  Specifically, ACL reduced the number of performance 
measures from 21 to 10 by keeping the 5 measures pertaining to recoveries, savings, and cost 
avoidance and combining or redefining the 16 measures pertaining to volunteer and outreach 
activities, condensing them into 5 new measures.   
______________________________________________________________________________ 
1 As required by the Inspector General Act of  1978  (P.L. No. 95-452), as amended,  OIG  reports semiannually to the 
Secretary of Health and Human Services and to Congress on the activities of the office.  In the semiannual report, 
OIG reports  expected recoveries.  See the  most recent semiannual report at  https://oig.hhs.gov/reports-and-
publications/semiannual/index.asp. 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)   Page 3  Josh Hodges 
 
In addition, ACL no longer requires the projects to report on the number of media airings and the 
ways they process complex issues.  See Appendix E for a list of the current measures and their 
definitions.   
 
Tracking Systems 
Beginning in October 2015, ACL implemented a new reporting systemthe SMP Information 
and Reporting System (SIRS).  The SMP projects are required to use this system to track and 
report activities and complaints and to refer cases to an investigative agency when necessary. 
Prior to implementing this system, ACL used a Web-based system named the Seniors Medicare 
Assistance and Reporting Tool for Fraud and Complaint Tracking System (SMART FACTS).   
 
METHODOLOGY   
 
We based our review on data reported by 53 SMP projects for 2016.  The data are from SIRS, 
which the program maintains.  In this report, we provide data for the first time on five new 
performance measures.  We reviewed the data for these measures for any discrepancies (e.g., if a 
project reported holding no events but reported a number of people attending events).  For the 
five measures that were the same as in previous years, we reviewed the projects documentation 
as we did in the past.  Specifically, we reviewed documentation for expected recoveries of funds 
for the Medicare and Medicaid programs; documentation for project-attributable savings to 
beneficiaries and others; and documentation for cost avoidance.  We provide the results for all 
10 performance measures in detail in the appendixes. 
 
Standards 
This study was conducted in accordance with the Quality Standards for Inspection and 
Evaluation issued by the Council of the Inspectors General on Integrity and Efficiency. 
 
RESULTS 
 
Results for 2016 
In 2016, the 53 SMP projects had a total of 6,126 total active team members who conducted 
a total of 26,220 group outreach and education events, reaching an estimated 1.5 million people.  
In addition, the projects had 195,386 individual interactions with, or on behalf of, a Medicare 
beneficiary. 
 
For 2016, the projects reported $163,904 in cost avoidance on behalf of Medicare, Medicaid, 
beneficiaries, and others.  Savings to beneficiaries and others totaled $53,449.  Expected 
Medicare recoveries totaled $2,672.  Further, two projects provided information to Federal 
prosecutors that resulted in settlements totaling an additional $9.2 million in expected Medicare 
recoveries.2  There were no expected Medicaid recoveries.   
______________________________________________________________________________ 
2 In these two cases, the SMP projects contributed to existing investigations.  
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)  Page 4  Josh Hodges 
 
 
In comparison to 2015, the projects reported much higher amounts for cost avoidance ($163,904, 
up from $21,533) and somewhat higher amounts of savings to beneficiaries and others ($53,449, 
up from $35,059).  However, the projects reported significantly lower expected Medicare 
recoveries ($2,672, down from $2.5 million).  The projects reported no Medicaid recoveries in 
either year. 
 
Results Since 1997  
Since the programs inception 20 years ago, the SMP projects have reported performance data on 
key measures, including Medicare and Medicaid recoveries; savings to beneficiaries and others; 
and cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others.  In total, expected 
recoveries to Medicare and Medicaid attributable to the projects from 1997 through 2016 were 
$117.6 million.3  Most of the recoveries resulted from one projects involvement in adjustments 
to Medicaid claims for individuals who were entitled to both Medicare and Medicaid.4  Total 
savings to beneficiaries and others were approximately $7.1 million.  Finally, total cost 
avoidance on behalf of Medicare, Medicaid, beneficiaries, and others was $9.2 million.  
 
CONCLUSION 
 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
senior citizens to recognize and report instances or patterns of health care fraud.  In 2016, the 
SMP projects had a total of 6,126 total active team members who conducted a total of 
26,220 group outreach and education events, reaching an estimated 1.5 million people.  Results 
attributable to their efforts included $163,904 in cost avoidance, $53,449 in savings to 
beneficiaries and others, and $2,672 in expected Medicare recoveries.  In comparison to 2015, 
the projects reported much higher amounts for cost avoidance and somewhat higher amounts of 
savings to beneficiaries and others, but significantly lower expected Medicare recoveries.   
 
We note that the projects may not be receiving full credit for recoveries, savings, and cost 
avoidance attributable to their work.  It is not always possible to track referrals to Medicare 
contractors or law enforcement from beneficiaries who have learned to detect fraud, waste, and 
abuse from the projects.  In addition, the projects are unable to track the potentially substantial 
savings derived from a sentinel effect, whereby Medicare beneficiaries scrutiny of their bills 
reduces fraud and errors. 
 
 
 
 
______________________________________________________________________________ 
3 Prior to 2007, OIG reviewed documentation on savings to Medicare only and included self-reported data on 
savings to Medicaid, beneficiaries, and other entities.  In addition, prior to 2012, the projects reported only actual 
recoveries.  
4 The project reported these savings between 2001 and 2003. 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)  Page 5  Josh Hodges 
 
As agreed, we will continue to monitor the projects and will provide ACL with annual summary 
reports of performance data.  This memorandum report is being issued directly in final form 
because it contains no recommendations.  If you have comments or questions about this 
memorandum report, please provide them within 60 days.  Please refer to report number  
OEI-02-17-00220 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services 
 
 
 
 
 
 
   
 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)   
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
 
List of Appendixes 
 
Appendix A:  Summary of Overall Performance of Projects in 2016.................................................7 
 
Appendix B:  Summary of Overall Performance of Projects Since 1997..........................................8 
 
Appendix C:  Results for 2016, by Performance Measure..............................................................9 
 
Appendix D:  Results for 2016, by Project............................................................................. 20 
 
Appendix E:  Definitions of Performance Measures................................................................. 74   
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                6   
APPENDIX A 
 
 
Summary of Overall Performance of Projects in 2016* 
Performance measures  Total for 2016 
Total number of active SMP team members  6,126 
Total number of SMP team member hours  415,041 
Number of group outreach and education events  26,220 
Estimated number of people reached through group outreach and education events 
1,492,652 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  195,386 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $163,904 
Expected Medicare recoveries attributable to the projects  $2,672 
Expected Medicaid recoveries attributable to the projects  $0 
Savings to beneficiaries attributable to the projects  $53,106 
Other savings attributable to the projects (e.g., Supplemental Insurance)  $343 
Total savings attributable to the projects *  $56,121 
* Total savings does not include cost avoidance. 
** The totals in this table have been rounded.  
 
   
   
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                7   
APPENDIX B 
 
Summary of Performance on Recoveries, Savings, and Cost Avoidance, Since 1997 
Performance measures  Total Since 1997 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others*  $9,225,223 
Expected Medicare recoveries attributable to the projects**  $22,833,763 
Expected Medicaid recoveries attributable to the projects**  $94,812,297 
Savings to beneficiaries attributable to the projects  $3,584,959 
Other savings attributable to the projects (e.g., Supplemental Insurance)  $3,472,345 
Total savings attributable to the projects ***  $124,703,364 
    * Performance measure was reported as of 2007. 
  ** Performance measure was changed to include actual and expected recoveries as of 2012.  Prior to 2012, the measure only included actual 
recoveries.   
*** Total savings does not include cost avoidance. 
 
 
Summary of Performance of Prior Measures, 1997-2014 
Performance measures  Total: 1997 - 2014 
Total number of active volunteers  46,428 
Total number of volunteer training hours  505,400 
Total number of volunteer work hours  1,105,124 
Number of media airings  2,393,866 
Number of community outreach education events conducted  196,225 
Estimated number of people reached by community outreach education events   30,150,226 
Number of group education sessions for beneficiaries  138,441 
Number of beneficiaries who attended group education sessions  4,933,065 
Number of one-on-one counseling sessions held with or on behalf of a beneficiary  1,643,744 
Total number of simple inquiries received  628,608 
Total number of simple inquiries resolved  614,040 
Number of inquiries involving complex issues received  34,643 
Number of inquiries involving complex issues referred for further action  9,418 
Total dollar amount referred for further action  $46,975,979 
Number of complex issues resolved  18,239 
Number of complex issues pending further action  N/A 
 
 
 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                8   
APPENDIX C 
 
Results for 2016, by Performance Measure 
 
The following tables provide the results by performance measure for each of the 53 Senior Medicare Patrol projects. 
   
Note:  The total amounts for some performance measures may not match the sum of each of these performance 
measures in Appendix B because of rounding.   
 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                9   
 
 
Total number of active SMP team members 
 
    Total for 2016         Total for 2016 
  Alabama  70    Montana  95 
  Alaska    49    Nebraska  94 
Arizona   92    Nevada  86 
Arkansas  83    New Hampshire  21 
California  653    New Jersey   64 
Colorado  81    New Mexico  53 
Connecticut  83    New York  24 
Delaware  54    North Carolina   206 
District of Columbia   80    North Dakota  83 
Florida  71    Ohio   221 
Georgia   230    Oklahoma  67 
Guam  21    Oregon   219 
Hawaii  67    Pennsylvania  47 
Idaho  104    Puerto Rico  0 
Illinois  114    Rhode Island  58 
Indiana  79    South Carolina  39 
Iowa  75    South Dakota  69 
Kansas  3    Tennessee  446 
Kentucky  214    Texas   128 
Louisiana  90    Utah  126 
Maine  136    Vermont  32 
Maryland  166    Virginia   83 
Massachusetts  59    Washington   69 
Michigan   826    West Virginia  53 
Minnesota  44    Wisconsin  39 
Mississippi  34    Wyoming  64 
Missouri  62       
 
 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                10   
  Total number of SMP team member hours 
 
  Total for 2016         Total for 2016 
 
Alabama  15,650    Montana  3,967 
 
Alaska  3,394    Nebraska  4,191 
   
Arizona   6,305    Nevada  10,362 
Arkansas  7,569    New Hampshire  655 
California  53,500    New Jersey   5,558 
Colorado  4,770    New Mexico  6,893 
Connecticut  4,650    New York  2,761 
Delaware  6,301    North Carolina   8,047 
District of Columbia   7,933    North Dakota  4,990 
Florida  9,579    Ohio   4,739 
Georgia   7,828    Oklahoma  3,735 
Guam  3,490    Oregon   4,367 
Hawaii  7,738    Pennsylvania  6,860 
Idaho  11,239    Puerto Rico  0 
Illinois  8,784    Rhode Island  4,205 
Indiana  4,555    South Carolina  9,510 
Iowa  10,282    South Dakota  7,598 
Kansas  117    Tennessee  25,201 
Kentucky  11,619    Texas   4,246 
Louisiana  3,878    Utah  12,378 
Maine  14,568    Vermont  2,073 
Maryland  8,879    Virginia   7,955 
Massachusetts  6,878    Washington   6,834 
Michigan   23,639    West Virginia  3,839 
Minnesota  8,082    Wisconsin  1,062 
Mississippi  6,178    Wyoming  4,195 
Missouri  1,420       
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                11   
 
 
Number of group outreach and education events 
   
  Total for 2016         Total for 2016 
Alabama  485    Montana  503 
Alaska  134    Nebraska  224 
Arizona   649    Nevada  391 
Arkansas  174    New Hampshire  215 
California  2,523    New Jersey   238 
Colorado  433    New Mexico  384 
Connecticut  159    New York  127 
Delaware  194    North Carolina   422 
District of Columbia   269    North Dakota  549 
Florida  486    Ohio   234 
Georgia   2,690    Oklahoma  529 
Guam  166    Oregon   568 
Hawaii  159    Pennsylvania  314 
Idaho  519    Puerto Rico  0 
Illinois  607    Rhode Island  329 
Indiana  412    South Carolina  342 
Iowa  343    South Dakota  164 
Kansas  18    Tennessee  1,366 
Kentucky  436    Texas   613 
Louisiana  234    Utah  1,052 
Maine  592    Vermont  110 
Maryland  437    Virginia   475 
Massachusetts  98    Washington   1,097 
Michigan   874    West Virginia  425 
Minnesota  596    Wisconsin  21 
Mississippi  163    Wyoming  123 
Missouri  1,555       
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                12   
 
 
Estimated number of people reached through group outreach and education events 
 
    Total for 2016         Total for 2016 
  Alabama    18,717    Montana  17,060 
Alaska  2,670    Nebraska  9,817 
Arizona   32,243    Nevada  15,044 
Arkansas  5,472    New Hampshire  8,306 
California  139,170    New Jersey   12,158 
Colorado  15,895    New Mexico  10,626 
Connecticut  5,662    New York  10,012 
Delaware  8,475    North Carolina   45,695 
District of Columbia   6,175    North Dakota  15,606 
Florida  34,378    Ohio   17,728 
Georgia   97,604    Oklahoma  29,034 
Guam  3,876    Oregon   20,823 
Hawaii  12,898    Pennsylvania  10,468 
Idaho  17,063    Puerto Rico  0 
Illinois  33,343    Rhode Island  16,905 
Indiana  35,583    South Carolina  20,257 
Iowa  11,145    South Dakota  10,643 
Kansas  10,952    Tennessee  156,087 
Kentucky  17,157    Texas   26,331 
Louisiana  27,771    Utah  43,100 
Maine  38,689    Vermont  2,108 
Maryland  15,925    Virginia   24,846 
Massachusetts  7,801    Washington   80,142 
Michigan   99,516    West Virginia  22,370 
Minnesota  69,388    Wisconsin  3,558 
Mississippi  13,363    Wyoming  5,135 
Missouri  77,862       
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                13   
 
  Number of individual interactions with, or on behalf of, a Medicare beneficiary 
 
  Total for 2016         Total for 2016 
 
Alabama  15,327    Montana  1,442 
   
Alaska  36    Nebraska  3,167 
Arizona   13    Nevada  3,429 
Arkansas  373    New Hampshire  1,478 
California  27,905    New Jersey   722 
Colorado  3,692    New Mexico  3,340 
Connecticut  154    New York  151 
Delaware  396    North Carolina   6,757 
District of Columbia   167    North Dakota  87 
Florida  391    Ohio   87 
Georgia   3,309    Oklahoma  473 
Guam  1,730    Oregon   9,978 
Hawaii  258    Pennsylvania  1,181 
Idaho  2,843    Puerto Rico  0 
Illinois  6,068    Rhode Island  1,275 
Indiana  935    South Carolina  5,404 
Iowa  314    South Dakota  3,023 
Kansas  2    Tennessee  25,184 
Kentucky  2,847    Texas   258 
Louisiana  119    Utah  11,788 
Maine  7,210    Vermont  83 
Maryland  17,479    Virginia   3,250 
Massachusetts  128    Washington   8,580 
Michigan   5,497    West Virginia  827 
Minnesota  1,375    Wisconsin  18 
Mississippi  102    Wyoming  3,251 
Missouri  1,483       
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                14   
 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others 
 
 
  Total for 2016         Total for 2016 
 
Alabama  $0    Montana  $0 
 
Alaska  $0    Nebraska  $0 
 
Arizona   $0    Nevada  $0 
 
Arkansas  $0    New Hampshire  $116,316 
 
California  $18,498    New Jersey   $833 
 
Colorado  $2,483    New Mexico  $0 
 
  Connecticut  $0    New York  $0 
  Delaware  $821    North Carolina   $0 
  District of Columbia   $0    North Dakota  $0 
  Florida  $711    Ohio   $112 
  Georgia   $0    Oklahoma  $0 
  Guam  $0    Oregon   $0 
 
Hawaii  $0    Pennsylvania  $0 
 
Idaho  $0    Puerto Rico  $0 
 
Illinois  $0    Rhode Island  $285 
 
Indiana  $0    South Carolina  $0 
 
Iowa  $0    South Dakota  $0 
 
Kansas  $0    Tennessee  $4,185 
 
Kentucky  $182    Texas   $0 
 
  Louisiana  $0    Utah  $14,823 
  Maine  $0    Vermont  $0 
  Maryland  $0    Virginia   $0 
  Massachusetts  $440    Washington   $0 
  Michigan   $0    West Virginia  $0 
 
Minnesota  $0    Wisconsin  $0 
 
Mississippi  $0    Wyoming  $4,215 
 
Missouri  $0       
 
 
 
 
 
 
 
 
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                15   
Expected Medicare recoveries attributable to the projects 
  Total for 2016      Total for 2016 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $81    New Jersey   $0 
Colorado  $143    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $1,024    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $1,104    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $319 
Missouri  $0       
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                16   
 
  Expected Medicaid recoveries attributable to the projects 
  Total for 2016         Total for 2016 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $0 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $0 
Missouri  $0       
   
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                17   
 
 
Savings to beneficiaries attributable to the projects 
  Total for 2016         Total for 2016 
Alabama  $0    Montana  $0 
Alaska  $42    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $678    New Jersey   $0 
Colorado  $1,589    New Mexico  $0 
Connecticut  $0    New York  $12,021 
Delaware  $2,933    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $44    Ohio   $97 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $825 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $1,170 
Kentucky  $33,274    Texas   $0 
Louisiana  $0    Utah  $247 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $186 
Missouri  $0       
 
   
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                18   
 
Other savings attributable to the projects 
  Total for 2016         Total for 2016 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $0 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $261    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $81 
Missouri  $0       
   
 
2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220)                                                19   
APPENDIX D 
 
Results for 2016, by Project 
 
The following tables provide the results for each performance measure for each of the 53 Senior Medicare Patrol projects 
in 2016.  The tables also include the grant total for 2016 for each project.  In addition, the measure for total savings does 
not include cost avoidance. 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   20   
 
 
Alabama  State of Alabama Department of Senior Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  70 
Total number of SMP team member hours  15,650 
Number of group outreach and education events  485 
Estimated number of people reached through group outreach and education events  18,717 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  15,327 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $278,391 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   21   
Alaska  State of Alaska Department of Health & Social Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  49 
Total number of SMP team member hours  3,394 
Number of group outreach and education events  134 
Estimated number of people reached through group outreach and education events  2,670 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  36 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $42 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $42 
 
Grant Total:   $234,250 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   22   
Arizona  Arizona Department of Economic Security 
Performance Measures  Total for 2016 
Total number of active SMP team members  92 
Total number of SMP team member hours  6,305 
Number of group outreach and education events  649 
Estimated number of people reached through group outreach and education events  32,243 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $283,384 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   23   
Arkansas  Arkansas Department of Human Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  83 
Total number of SMP team member hours  7,569 
Number of group outreach and education events  174 
Estimated number of people reached through group outreach and education events  5,472 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  373 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $261,315 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   24   
California  California Health Advocates 
Performance Measures  Total for 2016 
Total number of active SMP team members  653 
Total number of SMP team member hours  53,500 
Number of group outreach and education events  2,523 
Estimated number of people reached through group outreach and education events  139,170 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  27,905 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $18,498 
Expected Medicare recoveries attributable to the project  $81 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $678 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $759 
 
Grant Total:   $493,881 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   25   
Colorado  State of Colorado Division of Insurance 
Performance Measures  Total for 2016 
Total number of active SMP team members  81 
Total number of SMP team member hours  4,770 
Number of group outreach and education events  433 
Estimated number of people reached through group outreach and education events  15,895 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,692 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,483 
Expected Medicare recoveries attributable to the project  $143 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $1,589 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $1,732 
 
Grant Total:   $267,419 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   26   
 
Connecticut  State of Connecticut Department on Aging  
Performance Measures  Total for 2016 
Total number of active SMP team members  83 
Total number of SMP team member hours  4,650 
Number of group outreach and education events  159 
Estimated number of people reached through group outreach and education events  5,662 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  154 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $260,067 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   27   
Delaware   Delaware Department of Health and Social Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  54 
Total number of SMP team member hours  6,301 
Number of group outreach and education events  194 
Estimated number of people reached through group outreach and education events  8,475 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  396 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $821 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $2,933 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $2,933 
 
Grant Total:   $238,898 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   28   
District of Columbia  AARP Legal Counsel for the Elderly 
Performance Measures  Total for 2016 
Total number of active SMP team members  80 
Total number of SMP team member hours  7,933 
Number of group outreach and education events  269 
Estimated number of people reached through group outreach and education events  6,175 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  167 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $234,121 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   29   
Florida  eQHealth Solutions, Inc.  
Performance Measures  Total for 2016 
Total number of active SMP team members  71 
Total number of SMP team member hours  9,579 
Number of group outreach and education events  486 
Estimated number of people reached through group outreach and education events  34,378 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  391 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $711 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $44 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $44 
 
Grant Total:  $417,739 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   30   
Georgia  Department of Human Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  230 
Total number of SMP team member hours  7,828 
Number of group outreach and education events  2,690 
Estimated number of people reached through group outreach and education events  97,604 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,309 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $305,722 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   31   
Guam  Guam Department of Public Health and Social Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  21 
Total number of SMP team member hours  3,490 
Number of group outreach and education events  166 
Estimated number of people reached through group outreach and education events  3,876 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,730 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $1,024 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $261 
Total savings attributable to the project  $1,286 
 
Grant Total:   $95,831 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   32   
Hawaii State of Hawaii Department of Health  
Performance Measures  Total for 2016 
Total number of active SMP team members  67 
Total number of SMP team member hours  7,738 
Number of group outreach and education events  159 
Estimated number of people reached through group outreach and education events  12,898 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  258 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $242,104 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   33   
Idaho  Idaho Commission on Aging 
Performance Measures  Total for 2016 
Total number of active SMP team members  104 
Total number of SMP team member hours  11,239 
Number of group outreach and education events  519 
Estimated number of people reached through group outreach and education events  17,063 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,843 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $244,653 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   34   
Illinois  AgeOptions 
Performance Measures  Total for 2016 
Total number of active SMP team members  114 
Total number of SMP team member hours  8,784 
Number of group outreach and education events  607 
Estimated number of people reached through group outreach and education events  33,343 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,068 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $331,010 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   35   
Indiana IAAAA Education Institute 
Performance Measures  Total for 2016 
Total number of active SMP team members  79 
Total number of SMP team member hours  4,555 
Number of group outreach and education events  412 
Estimated number of people reached through group outreach and education events  35,583 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  935 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $287,288 
 
 
 
   
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   36   
Iowa  Northeast Iowa AAA 
Performance Measures  Total for 2016 
Total number of active SMP team members  75 
Total number of SMP team member hours  10,282 
Number of group outreach and education events  343 
Estimated number of people reached through group outreach and education events  11,145 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  314 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $1,104 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $1,104 
 
Grant Total:   $260,211 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   37   
Kansas  Kansas Department on Aging and Disability Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  3 
Total number of SMP team member hours  117 
Number of group outreach and education events  18 
Estimated number of people reached through group outreach and education events  10,952 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $255,058 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   38   
Kentucky  Louisville/Jefferson County Metro Government 
 
Performance Measures  Total for 2016 
Total number of active SMP team members  214 
Total number of SMP team member hours  11,619 
Number of group outreach and education events  436 
Estimated number of people reached through group outreach and education events  17,157 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,847 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $182 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $33,274 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $33,274 
 
Grant Total:   $279,861 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   39   
Louisiana  eQHealth Solutions, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  90 
Total number of SMP team member hours  3,878 
Number of group outreach and education events  234 
Estimated number of people reached through group outreach and education events  27,771 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  119 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $269,013 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   40   
Maine  Maine Department of Health and Human Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  136 
Total number of SMP team member hours  14,568 
Number of group outreach and education events  592 
Estimated number of people reached through group outreach and education events  38,689 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,210 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $246,431 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   41   
Maryland  Maryland Department of Aging 
Performance Measures  Total for 2016 
Total number of active SMP team members  166 
Total number of SMP team member hours  8,879 
Number of group outreach and education events  437 
Estimated number of people reached through group outreach and education events  15,925 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  17,479 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $274,149 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   42   
Massachusetts  Elder Services of the Merrimack Valley, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  59 
Total number of SMP team member hours  6,878 
Number of group outreach and education events  98 
Estimated number of people reached through group outreach and education events  7,801 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  128 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $440 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $287,539 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   43   
Michigan  MMAP, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  826 
Total number of SMP team member hours  23,639 
Number of group outreach and education events  874 
Estimated number of people reached through group outreach and education events  99,516 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,497 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $323,087 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   44   
Minnesota  Minnesota Board on Aging 
Performance Measures  Total for 2016 
Total number of active SMP team members  44 
Total number of SMP team member hours  8,082 
Number of group outreach and education events  596 
Estimated number of people reached through group outreach and education events  69,388 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,375 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $275,771 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   45   
Mississippi  eQHealth Solutions, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  34 
Total number of SMP team member hours  6,178 
Number of group outreach and education events  163 
Estimated number of people reached through group outreach and education events  13,363 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  102 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $260,030 
 
 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   46   
Missouri  District III Area Agency on Aging  
  Performance Measures  Total for 2016 
Total number of active SMP team members  62 
Total number of SMP team member hours  1,420 
Number of group outreach and education events  1,555 
Estimated number of people reached through group outreach and education events  77,862 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,483 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $287,368 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   47   
Montana  Missoula Aging Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  95 
Total number of SMP team member hours  3,967 
Number of group outreach and education events  503 
Estimated number of people reached through group outreach and education events  17,060 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,442 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $240,728 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   48   
Nebraska  Nebraska Department of Insurance  
Performance Measures  Total for 2016 
Total number of active SMP team members  94 
Total number of SMP team member hours  4,191 
Number of group outreach and education events  224 
Estimated number of people reached through group outreach and education events  9,817 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,167 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $246,274 
 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   49   
Nevada  Nevada Aging and Disability Service Division 
Performance Measures  Total for 2016 
Total number of active SMP team members  86 
Total number of SMP team member hours  10,362 
Number of group outreach and education events  391 
Estimated number of people reached through group outreach and education events  15,044 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,429 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $251,152 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   50   
New Hampshire  Department of Health and Human Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  21 
Total number of SMP team member hours  655 
Number of group outreach and education events  215 
Estimated number of people reached through group outreach and education events  8,306 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,478 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $116,316 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $243,499 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   51   
New Jersey  Jewish Family & Vocational Service of Middlesex County 
Performance Measures  Total for 2016 
Total number of active SMP team members  64 
Total number of SMP team member hours  5,558 
Number of group outreach and education events  238 
Estimated number of people reached through group outreach and education events  12,158 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  722 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $833 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $299,000 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   52   
New Mexico  New Mexico Aging and Long Term Services Department  
Performance Measures  Total for 2016 
Total number of active SMP team members  53 
Total number of SMP team member hours  6,893 
Number of group outreach and education events  384 
Estimated number of people reached through group outreach and education events  10,626 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,340 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $248,766 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   53   
New York Services and Advocacy for GLBT Elders  
Performance Measures  Total for 2016 
Total number of active SMP team members  24 
Total number of SMP team member hours  2,761 
Number of group outreach and education events  127 
Estimated number of people reached through group outreach and education events  10,012 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  151 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $12,021 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $12,021 
 
Grant Total:  $389,971 
 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   54   
North Carolina  North Carolina Department of Insurance 
Performance Measures  Total for 2016 
Total number of active SMP team members  206 
Total number of SMP team member hours  8,047 
Number of group outreach and education events  422 
Estimated number of people reached through group outreach and education events  45,695 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,757 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $318,540 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   55   
North Dakota  Minot State University 
Performance Measures  Total for 2016 
Total number of active SMP team members  83 
Total number of SMP team member hours  4,990 
Number of group outreach and education events  549 
Estimated number of people reached through group outreach and education events  15,606 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  87 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $236,248 
 
 
 
   
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   56   
Ohio  Pro Seniors, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  221 
Total number of SMP team member hours  4,739 
Number of group outreach and education events  234 
Estimated number of people reached through group outreach and education events  17,728 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  87 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $112 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $97 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $97 
 
Grant Total:   $335,178 
 
   
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   57   
Oklahoma  Oklahoma Insurance Department 
Performance Measures  Total for 2016 
Total number of active SMP team members  67 
Total number of SMP team member hours  3,735 
Number of group outreach and education events  529 
Estimated number of people reached through group outreach and education events  29,034 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  473 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $264,692 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   58   
Oregon  Department of Human Services, Office of Financial Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  219 
Total number of SMP team member hours  4,367 
Number of group outreach and education events  568 
Estimated number of people reached through group outreach and education events  20,823 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  9,978 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $267,152 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   59   
Pennsylvania  Center for Advocacy for the Rights and Interests of the Elderly 
Performance Measures  Total for 2016 
Total number of active SMP team members  47 
Total number of SMP team member hours  6,860 
Number of group outreach and education events  314 
Estimated number of people reached through group outreach and education events  10,468 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,181 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $825 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $825 
 
Grant Total:   $353,280 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   60   
Puerto Rico Ombudsman Office for the Elderly 
Performance Measures  Total for 2016 
Total number of active SMP team members  0 
Total number of SMP team member hours  0 
Number of group outreach and education events  0 
Estimated number of people reached through group outreach and education events  0 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  0 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $266,596 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   61   
 
 
Rhode Island  Rhode Island Department of Elderly Affairs
Performance Measures  Total for 2016 
Total number of active SMP team members  58 
Total number of SMP team member hours  4,205 
Number of group outreach and education events  329 
Estimated number of people reached through group outreach and education events  16,905 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,275 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $285 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $239,539 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   62   
South Carolina  South Carolina Office of Lieutenant Governor 
Performance Measures  Total for 2016 
Total number of active SMP team members  39 
Total number of SMP team member hours  9,510 
Number of group outreach and education events  342 
Estimated number of people reached through group outreach and education events  20,257 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,404 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $276,310 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   63   
South Dakota  South Dakota Department of Social Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  69 
Total number of SMP team member hours  7,598 
Number of group outreach and education events  164 
Estimated number of people reached through group outreach and education events  10,643 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,023 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $238,278 
 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   64   
Tennessee  Upper Cumberland Development District 
Performance Measures  Total for 2016 
Total number of active SMP team members  446 
Total number of SMP team member hours  25,201 
Number of group outreach and education events  1,366 
Estimated number of people reached through group outreach and education events  156,087 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  25,184 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $4,185 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $1,170 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $1,170 
 
Grant Total:   $292,210 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   65   
Texas  Better Business Bureau Educational Foundation 
Performance Measures  Total for 2016 
Total number of active SMP team members  128 
Total number of SMP team member hours  4,246 
Number of group outreach and education events  613 
Estimated number of people reached through group outreach and education events  26,331 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  258 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $404,622 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   66   
Utah  Utah Department of Human Services 
Performance Measures  Total for 2016 
Total number of active SMP team members  126 
Total number of SMP team member hours  12,378 
Number of group outreach and education events  1,052 
Estimated number of people reached through group outreach and education events  43,100 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  11,788 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $14,823 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $247 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $247 
 
Grant Total:   $246,914 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   67   
Vermont  Community of Vermont Elders 
Performance Measures  Total for 2016 
Total number of active SMP team members  32 
Total number of SMP team member hours  2,073 
Number of group outreach and education events  110 
Estimated number of people reached through group outreach and education events  2,108 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  83 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $237,159 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   68   
Virginia  Virginia Association of Area Agencies on Aging, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  83 
Total number of SMP team member hours  7,955 
Number of group outreach and education events  475 
Estimated number of people reached through group outreach and education events  24,846 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,250 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $296,639 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   69   
Washington  Washington State Office of the Insurance Commissioner 
Performance Measures  Total for 2016 
Total number of active SMP team members  69 
Total number of SMP team member hours  6,834 
Number of group outreach and education events  1,097 
Estimated number of people reached through group outreach and education events  80,142 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,580 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:   $287,224 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   70   
West Virginia  Bureau of Senior Services  
Performance Measures  Total for 2016 
Total number of active SMP team members  53 
Total number of SMP team member hours  3,839 
Number of group outreach and education events  425 
Estimated number of people reached through group outreach and education events  22,370 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  827 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
 
Grant Total:  $252,122 
 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   71   
 
Wisconsin  eQHealth Solutions, Inc. * 
Performance Measures  Total for 2016 
Total number of active SMP team members  39 
Total number of SMP team member hours  1,062 
Number of group outreach and education events  21 
Estimated number of people reached through group outreach and education events  3,558 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  18 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
* In 2016, there were two grantees.  The data are not available for the first grantee.  The data in the table are from the second grantee and reflect 
the last 4 months of the year.  
 
Grant Total:   $282,950 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)   72   
Wyoming  Wyoming Senior Citizens, Inc. 
Performance Measures  Total for 2016 
Total number of active SMP team members  64 
Total number of SMP team member hours  4,195 
Number of group outreach and education events  123 
Estimated number of people reached through group outreach and education events  5,135 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,251 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $4,215 
Expected Medicare recoveries attributable to the project  $319 
Expected Medicaid recoveries attributable to the project  $0 
Savings to beneficiaries attributable to the project  $186 
Other savings attributable to the project (e.g., Supplemental Insurance)  $81 
Total savings attributable to the project  $587 
 
Grant Total:   $235,090 
 
   
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)              73   
APPENDIX E 
Definitions of Performance Measures 
Total number of active SMP  Individuals who spent any time on the SMP program, including SMPpaid,  
team members  inkind paid, and volunteer team members. 
Total number of SMP team  Hours contributed by team members while performing SMP work and 
member hours  receiving training to perform SMP work, including time spent by SMPpaid, 
inkind paid, and volunteer team members. 
Number of group outreach and  Community outreach events, education activities, and presentations to 
education events  educate beneficiaries, family members, caregivers, and others about SMP 
services and detecting health care fraud, errors, and abuse. 
Estimated number of people  Total estimated number of people reached as a result of SMP group 
reached through group outreach  outreach and education activities. 
and education events 
Number of individual  Individual interactions between SMP team members and beneficiaries, 
interactions with, or on behalf  family members, caregivers, or others for the purpose of discussing or 
of, a Medicare beneficiary 
gathering information about potential health care fraud, errors, or abuse. 
Cost avoidance on behalf of  Health care expenditures for which the Government, a beneficiary, or other 
Medicare, Medicaid,  entity (e.g., secondary health insurer or a pharmacy) was relieved of 
beneficiaries, or others 
responsibility for payment as a result of the SMP project. 
Expected Medicare recoveries  This amount represents actual and expected recoveries from criminal 
attributable to the project  actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
upon to be returned to Medicare, and may not reflect actual collections.  
Recoveries may also involve cases that include participation by a Medicare 
contractor or a law enforcement agency. 
Expected Medicaid recoveries  This amount represents actual and expected recoveries from criminal 
attributable to the project  actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
upon to be returned to Medicaid, and may not reflect actual collections.  
Recoveries may also involve cases that include participation by a Medicaid 
Fraud Control Unit or a law enforcement agency. 
Savings to beneficiaries  Money saved by or recouped to an individual as a result of the SMP project 
attributable to the project  (e.g., copayments, deductibles, or any other out-of-pocket expenses). 
Other savings attributable to the  Money saved or recouped to an entity other than Medicare, Medicaid, or a 
project   beneficiary (e.g., secondary health insurer) as a result of the SMP project. 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2017 Performance Report (OEI-02-17-00220)              74