TO:    Kelly  Cronin 
Deputy Administrator for the Center for Innovation  and Partnership   
      Administration for Community Living     
 
SUZANNE Digitally signed by 
 
SUZANNE MURRIN 
FROM:    Suzanne Murrin  
MURRIN  Date: 2020.06.30 
Deputy Inspector General  14:50:46 -04'00'   
   for Evaluation  and Inspections  
 
   
SUBJECT:        Memorandum Report:   2019 Performance Data for the Senior Medicare Patrol  
Projects, OEI-02-20-00150 
 
 
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) 
projects for 2019.  The Office of Inspector General (OIG) has collected these data since 1997.  
In July 2010, the Administration  on  Aging, which  is now part of the Administration for 
Community Living (ACL), requested that OIG continue to collect and report performance data 
for the SMP  projects to support ACLs efforts to evaluate and improve its performance.  OIG 
reports these performance data on an annual basis.  In 2015,  ACL substantially changed the 
performance measures.  We made comparisons to data from previous years when possible.  
 
SUMMARY  
 
The SMP projects receive grants from ACL to recruit and train retired professionals and  other older 
adults and community members to prevent, recognize, and report health  care fraud, errors, and 
abuse.  These SMP team members then participate in outreach events to help educate Medicare 
and Medicaid beneficiaries on the same prevention, recognition, and reporting techniques.  In  
2019, the 54 projects:  
(cid:120)  had 6,875 active team members;  
(cid:120)  conducted 28,146 group  outreach and education events; and  
(cid:120)  had 320,590 individual interactions with, or  on behalf of, a Medicare beneficiary.  
  Page 2  Kelly Cronin 
 
  $20,150 in total savings to beneficiaries and others. 
 
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, Guam, and 
the U.S. Virgin Islands.  In 2019, funding for the program totaled $18.1 million in Health Care Fraud 
and Abuse Control Program funding, including $63,863 in carryover funds.  Of that $18.1 million, 
$2.5 million supported infrastructure, technical assistance, and other SMP program activities, and 
$15.5 million went to SMP projects to help beneficiaries prevent, detect, and report Medicare fraud, 
errors, and abuse.  In 2018, funding for the projects also totaled $18.1 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 accounting method is consistent 
with OIGs accounting of its recoveries.1   
 
In 2015, ACL changed the other 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.  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 F for a list of the current measures and their definitions.   
 
In 2017, OIG added two new measures that capture additional expected recoveries from cases in 
which the SMP projects were minimally involved.  These new measuresone for Medicare and the 
______________________________________________________________________________ 
1 As required by the Inspector General Act of 1978 (P.L. No. 95-452, enacted Oct. 1, 1978), 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. 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)    Page 3  Kelly Cronin 
 
other for Medicaidinclude actual and expected recoveries that resulted from SMP referrals that 
validated information in an existing investigation.  In contrast, the original two measures on 
expected recoveries capture recoveries from referrals that led to the opening of an investigation or 
from meaningful contributions to an existing investigation by an SMP project. 
 
Tracking Systems 
ACL maintains a reporting systemthe SMP Information and Reporting Systemfor SMP projects 
to track and report activities and complaints.  Although projects commonly resolve complaints on 
their own, they are expected to refer cases to an investigative agency when necessary.  These 
referrals are also recorded in the system. 
 
METHODOLOGY   
 
We based our review on data reported in the SMP Information and Reporting System by 54 SMP 
projects for 2019.  In this report, we provide the first 4 years of data for five measures.  For these 
five measures, we reviewed the data for any discrepancies (e.g., if a project reported holding no 
events but reported a number of people who attended events).  For the measures on recoveries, 
savings, and cost avoidance, we reviewed the projects documentation in the same manner as in 
the past.  Specifically, we reviewed documentation for expected recoveries and additional expected 
recoveries of funds for the Medicare and Medicaid programs; documentation for 
project-attributable savings to beneficiaries and others; and documentation for cost avoidance.2  
We provide the results for all 12 performance measures in detail in the appendices. 
 
Standards 
We conducted this study 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 2019  
In 2019, the 54 SMP projects had a total of 6,875 active team members who conducted a total of 
28,146 group outreach and education events, reaching an estimated 1.6 million people.  In addition, 
the projects had 320,590 individual interactions with, or on behalf of, a Medicare beneficiary. 
 
For 2019, the SMP projects reported $2.4 million in expected Medicare recoveries.  Almost all of 
these recoveries came from one project that uncovered a fraud scheme that encouraged low-
______________________________________________________________________________ 
2 Due to the COVID-19 pandemic, projects in four StatesColorado, Florida, Idaho, and Massachusettswere unable to 
provide supporting documentation for some or all of their recoveries, savings, and cost avoidance.  We provided an 
extension to these States, which will allow them to report any savings from these cases in next years report.   
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)    Page 4  Kelly Cronin 
 
income senior citizens to submit DNA samples for medically unnecessary genetic testing.  Three 
defendants were sentenced and ordered to pay a total of $2.3 million in restitution and forfeitures.  
In addition, cost avoidance totaled $60,971, while savings to beneficiaries and others totaled 
$20,150.   
 
In addition, the SMP program released a consumer fraud alert on genetic testing.3  The alert 
advises beneficiaries to be suspicious of strangers who offer free genetic tests.  It also advises 
beneficiaries to be cautious about sharing their personal information, including their Medicare 
identification number, and warns that this information can be used to fraudulently bill Medicare 
and Medicaid.  The SMP projects conducted 1,467 group events covering genetic testing fraud 
issues in 2019; these events reached 97,455 people. 
 
In comparison to 2018, the projects reported a 15-percent increase in the number of individual 
interactions in 2019 (320,590, up from 278,761).  The number of group outreach and education 
events increased slightly by 5 percent, but the number of people reached through these channels 
decreased by about the same percentage (1.6 million, down from 1.7 million).  In addition, the 
projects reported significantly higher amounts for Medicare recoveries ($2.4 million, up from 
$15,136), while cost avoidance dropped ($60,971, down from $602,063).   
 
Results Since 1997  
Since the programs inception 23 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 2019 were 
$122.1 million.4  Most of the recoveries resulted from one projects involvement in adjustments to 
Medicaid claims for individuals entitled to both Medicare and Medicaid.5  Total savings to 
beneficiaries and others were approximately $7.1 million.  Total cost avoidance on behalf of 
Medicare, Medicaid, beneficiaries, and others was $10.1 million.  
 
 
 
 
 
______________________________________________________________________________ 
3 See SMP, SMP Consumer Fraud Alert: Genetic Testing.  Accessed at https://www.smpresource.org/Content/Medicare-
Fraud/SMP-Consumer-Fraud-Alerts/SMP-Consumer-Fraud-Alert-Genetic-Testing.aspx on May 11, 2020.  The SMP fraud 
alert references a corresponding OIG fraud alert.  See OIG, Fraud Alert: Genetic Testing Scam.  Accessed at 
https://oig.hhs.gov/fraud/consumer-alerts/alerts/geneticscam.asp? on May 11, 2020.  
4 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 actual recoveries only.  
5 The project reported these savings between 2001 and 2003. 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)    Page 5  Kelly Cronin 
 
CONCLUSION 
 
The SMP projects receive grants from ACL to recruit and train retired professionals and other older 
adults and community members to recognize and report instances or patterns of health care fraud.  
In 2019, the SMP projects had a total of 6,875 active team members who conducted a total of 
28,146 group outreach and education events, reaching an estimated 1.6 million people.  Results 
attributable to the SMP projects efforts included $2.4 million in expected Medicare recoveries, 
$60,971 in cost avoidance, and $20,150 in savings to beneficiaries and others.  In comparison to 
2018, the projects reported a significantly higher amount for Medicare recoveries, but a lower 
amount for cost avoidance.   
 
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. 
 
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-02-20-00150 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)     
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
List of Appendices 
 
Appendix A:  Summary of Overall Performance of Projects in 2019 ............................................. 7 
 
Appendix B:  Summary of Performance on Recoveries, Savings,                                                            
and Cost Avoidance, Since 1997 ..................................................................................... 8 
 
Appendix C:  Summary of Performance on SMP Activities, 20162019 ....................................... 9 
 
Appendix D:  Results for 2019, by Performance Measure ............................................................... 10 
 
Appendix E:  Results for 2019, by Project ............................................................................................ 23 
 
Appendix F:  Definitions of Performance Measures ........................................................................ 78 
 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  6   
APPENDIX A 
Summary of Overall Performance of Projects in 2019* 
Performance measures  Total for 2019 
Total number of active SMP team members  6,875 
Total number of SMP team member hours  549,958 
Number of group outreach and education events  28,146 
Estimated number of people reached through group outreach and education events  1,591,429 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  320,590 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $60,971 
Expected Medicare recoveries attributable to the projects  $2,382,572 
Additional expected Medicare recoveries attributable to the projects**  $0 
Expected Medicaid recoveries attributable to the projects  $0 
Additional expected Medicaid recoveries attributable to the projects**   $0 
Savings to beneficiaries attributable to the projects  $19,814 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $336 
Total savings attributable to the projects***  $2,402,722 
* The totals in this table have been rounded.  
** Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
*** Total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  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*  $10,100,006 
Expected Medicare recoveries attributable to the projects**  $27,241,946 
Additional expected Medicare recoveries attributable to the projects***  $65,113,359 
Expected Medicaid recoveries attributable to the projects**  $94,818,031 
Additional expected Medicaid recoveries attributable to the projects***  $1,789,200 
Savings to beneficiaries attributable to the projects  $3,676,188 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $3,473,422 
Total savings attributable to the projects****  $129,209,587 
* This performance measure has been reported since 2007. 
** This performance measure was changed in 2012 to include both actual recoveries and expected recoveries. 
*** Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project.  This 
performance measure was reported for the first time in 2018. 
**** Total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  8   
APPENDIX C                 
 
 
Summary of Performance on SMP Activities, 20162019 
Performance measures*  Total:  20162019 
Total number of active SMP team members  26,066 
Total number of SMP team member hours  1,881,783 
Number of group outreach and education events    107,727 
Estimated number of people reached through group outreach and education events  6,692,869 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,020,998 
* These measures were introduced beginning with the data for 2016 and cannot be compared to the measures for data prior to 2016, which are listed 
in Appendix B of the OIG report 2016 Performance Data for the Senior Medicare Patrol Projects (OEI-02-17-00220). 
 
 
 
 
 
 
 
 
 
 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  9   
APPENDIX D   
 
Results for 2019, by Performance Measure 
 
The following tables provide the results by performance measure and by State for the SMP projects.   
   
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual figures 
listed in Appendix D. 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  10   
Total Number of Active SMP Team Members 
 
         Total for 2019      Total for 2019 
Alabama  127    Montana  79 
Alaska  47    Nebraska  185 
Arizona   106    Nevada  74 
Arkansas  124    New Hampshire  55 
California  659    New Jersey   30 
Colorado  84    New Mexico  44 
Connecticut  69    New York  37 
Delaware  22    North Carolina   313 
District of Columbia   51    North Dakota  114 
Florida  389    Ohio   63 
Georgia   34    Oklahoma  36 
Guam  9    Oregon   205 
Hawaii  62    Pennsylvania  41 
Idaho  100    Puerto Rico  7 
Illinois  92    Rhode Island  87 
Indiana  81    South Carolina  30 
Iowa  367    South Dakota  70 
Kansas  94    Tennessee  379 
Kentucky  114    Texas   191 
Louisiana  86    U.S. Virgin Islands  6 
Maine  121    Utah  189 
Maryland  115    Vermont  28 
Massachusetts  63    Virginia   108 
Michigan   845    Washington   155 
Minnesota  186    West Virginia  75 
Mississippi  22    Wisconsin  20 
Missouri  110    Wyoming  75 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  11   
Total Number of SMP Team Member Hours 
 
  Total for 2019      Total for 2019 
Alabama  6,349    Montana  5,547 
Alaska  5,275    Nebraska  8,146 
Arizona   22,372    Nevada  12,287 
Arkansas  5,877    New Hampshire  2,768 
California  54,614    New Jersey   6,063 
Colorado  11,281    New Mexico  3,063 
Connecticut  5,479    New York  10,144 
Delaware  6,969    North Carolina   18,384 
District of Columbia   6,068    North Dakota  4,931 
Florida  53,922    Ohio   7,304 
Georgia   7,273    Oklahoma  5,837 
Guam  359    Oregon   9,991 
Hawaii  4,367    Pennsylvania  7,980 
Idaho  11,290    Puerto Rico  4,476 
Illinois  8,222    Rhode Island  12,896 
Indiana  7,226    South Carolina  5,296 
Iowa  15,501    South Dakota  3,444 
Kansas  5,775    Tennessee  20,104 
Kentucky  12,043    Texas   10,129 
Louisiana  6,012    U.S. Virgin Islands  1,009 
Maine  11,574    Utah  18,023 
Maryland  8,346    Vermont  5,380 
Massachusetts  7,667    Virginia   10,802 
Michigan   24,678    Washington   7,531 
Minnesota  9,885    West Virginia  5,993 
Mississippi  6,051    Wisconsin  4,389 
Missouri  5,125    Wyoming  8,445 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  12   
Number of Group Outreach and Education Events 
 
  Total for 2019      Total for 2019 
Alabama  492    Montana  537 
Alaska  128    Nebraska  399 
Arizona   303    Nevada  481 
Arkansas  582    New Hampshire  386 
California  2,321    New Jersey   222 
Colorado  432    New Mexico  400 
Connecticut  242    New York  553 
Delaware  175    North Carolina   1,163 
District of Columbia   238    North Dakota  822 
Florida  1,589    Ohio   548 
Georgia   146    Oklahoma  647 
Guam  67    Oregon   569 
Hawaii  99    Pennsylvania  247 
Idaho  511    Puerto Rico  77 
Illinois  654    Rhode Island  832 
Indiana  469    South Carolina  360 
Iowa  430    South Dakota  52 
Kansas  405    Tennessee  802 
Kentucky  537    Texas   1,014 
Louisiana  198    U.S. Virgin Islands  16 
Maine  450    Utah  1,269 
Maryland  401    Vermont  109 
Massachusetts  183    Virginia   554 
Michigan   723    Washington   471 
Minnesota  1,064    West Virginia  610 
Mississippi  215    Wisconsin  129 
Missouri  1,725    Wyoming  98 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  13   
Estimated Number of People Reached Through Group Outreach and Education Events 
 
  Total for 2019      Total for 2019 
Alabama  20,676    Montana  14,476 
Alaska  6,889    Nebraska  17,673 
Arizona   30,070    Nevada  20,224 
Arkansas  15,437    New Hampshire  11,535 
California  141,083    New Jersey   9,732 
Colorado  17,464    New Mexico  11,565 
Connecticut  6,902    New York  47,189 
Delaware  4,746    North Carolina   123,837 
District of Columbia   5,690    North Dakota  20,860 
Florida  61,993    Ohio   95,297 
Georgia   17,469    Oklahoma  51,745 
Guam  955    Oregon   23,362 
Hawaii  10,914    Pennsylvania  9,625 
Idaho  20,494    Puerto Rico  5,389 
Illinois  31,417    Rhode Island  70,147 
Indiana  36,365    South Carolina  27,680 
Iowa  18,612    South Dakota  2,474 
Kansas  29,251    Tennessee  82,820 
Kentucky  22,710    Texas   47,352 
Louisiana  32,680    U.S. Virgin Islands  2,541 
Maine  10,208    Utah  45,893 
Maryland  24,734    Vermont  2,278 
Massachusetts  8,960    Virginia   34,732 
Michigan   62,068    Washington   19,118 
Minnesota  20,610    West Virginia  24,184 
Mississippi  20,409    Wisconsin  13,269 
Missouri  73,877    Wyoming  3,749 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  14   
Number of Individual Interactions With, or on Behalf of, a Medicare Beneficiary  
 
  Total for 2019      Total for 2019 
Alabama  11,290    Montana  1,723 
Alaska  461    Nebraska  11,066 
Arizona   2,365    Nevada  3,240 
Arkansas  311    New Hampshire  5,784 
California  49,035    New Jersey   325 
Colorado  7,689    New Mexico  2,949 
Connecticut  135    New York  2,649 
Delaware  61    North Carolina   13,949 
District of Columbia   121    North Dakota  134 
Florida  27,212    Ohio   391 
Georgia   409    Oklahoma  1,408 
Guam  360    Oregon   7,574 
Hawaii  107    Pennsylvania  1,107 
Idaho  5,637    Puerto Rico  7 
Illinois  4,878    Rhode Island  8,864 
Indiana  1,315    South Carolina  8,509 
Iowa  13,050    South Dakota  4,420 
Kansas  7,227    Tennessee  36,502 
Kentucky  2,593    Texas   1,024 
Louisiana  335    U.S. Virgin Islands  0 
Maine  6,445    Utah  18,014 
Maryland  12,122    Vermont  37 
Massachusetts  206    Virginia   6,910 
Michigan   6,919    Washington   13,784 
Minnesota  914    West Virginia  2,836 
Mississippi  368    Wisconsin  175 
Missouri  463    Wyoming  5,181 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  15   
Cost Avoidance on Behalf of Medicare, Medicaid, Beneficiaries, or Others 
 
  Total for 2019      Total for 2019 
Alabama  $0    Montana  $364 
Alaska  $8,748    Nebraska  $0 
Arizona   $0    Nevada  $866 
Arkansas  $0    New Hampshire  $0 
California  $1,099    New Jersey   $2,511 
Colorado  $2,027    New Mexico  $13,403 
Connecticut  $0    New York  $0 
Delaware  $123    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $1,261 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $2,407    Pennsylvania  $0 
Idaho  $7,311    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $1,582 
Kentucky  $299    Texas   $0 
Louisiana  $1,595    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $3,388    Virginia   $0 
Michigan   $0    Washington   $1,816 
Minnesota  $0    West Virginia  $0 
Mississippi  $155    Wisconsin  $0 
Missouri  $0    Wyoming  $12,016 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  16   
Expected Medicare Recoveries Attributable to the Projects 
 
  Total for 2019      Total for 2019 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $53    New Hampshire  $0 
California  $32,091    New Jersey   $2,335,617 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of   
North Dakota 
Columbia   $0  $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  $1,159    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $1,706    Texas   $0 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $1,980    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $614    Wisconsin  $0 
Missouri  $0    Wyoming  $9,352 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  17   
Additional Expected Medicare Recoveries Attributable to the Projects* 
 
  Total for 2019      Total for 2019 
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    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $0    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from referrals that 
led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  18   
Expected Medicaid Recoveries Attributable to the Projects 
 
  Total for 2019      Total for 2019 
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    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $0    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $0 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  19   
Additional Expected Medicaid Recoveries Attributable to the Projects* 
 
  Total for 2019      Total for 2019 
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    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $0    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from referrals that 
led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  20   
Savings to Beneficiaries Attributable to the Projects 
 
  Total for 2019      Total for 2019 
Alabama  $0    Montana  $0 
Alaska  $190    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $153    New Jersey   $0 
Colorado  $8,435    New Mexico  $306 
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  $287    Pennsylvania  $1,095 
Idaho  $1,004    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $416 
Kentucky  $341    Texas   $0 
Louisiana  $4,475    U.S. Virgin Islands  $0 
Maine  $0    Utah  $934 
Maryland  $0    Vermont  $0 
Massachusetts  $228    Virginia   $0 
Michigan   $0    Washington   $1,951 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $0 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  21   
Other Savings Attributable to the Projects (E.g., Savings to Supplemental Insurance)  
 
  Total for 2019      Total for 2019 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $191 
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    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $145    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $0 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  22   
APPENDIX E 
 
Results for 2019, by Project 
 
The following tables provide the results for each performance measure for each of the 54 SMP projects in 2019.  The tables 
also include the grant total for 2019 for each project.  In addition, the measure for total savings includes expected Medicare 
recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual figures 
listed in Appendix E. 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                  23   
 
Alabama  State of Alabama Department of Senior Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  127 
Total number of SMP team member hours  6,349 
Number of group outreach and education events  492 
Estimated number of people reached through group outreach and education events  20,676 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  11,290 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $292,181 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    24   
Alaska  Alaska Department of Health & Social Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  47 
Total number of SMP team member hours  5,275 
Number of group outreach and education events  128 
Estimated number of people reached through group outreach and education events  6,889 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  461 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $8,748 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $190 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $190 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $235,844 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    25   
Arizona  Arizona Department of Economic Security 
 
Performance measures  Total for 2019 
Total number of active SMP team members  106 
Total number of SMP team member hours  22,372 
Number of group outreach and education events  303 
Estimated number of people reached through group outreach and education events  30,070 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,365 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $301,198 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    26   
Arkansas  Arkansas Department of Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  124 
Total number of SMP team member hours  5,877 
Number of group outreach and education events  582 
Estimated number of people reached through group outreach and education events  15,437 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  311 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $53 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $53 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $269,890 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    27   
California  California Health Advocates 
 
Performance measures  Total for 2019 
Total number of active SMP team members  659 
Total number of SMP team member hours  54,614 
Number of group outreach and education events  2,321 
Estimated number of people reached through group outreach and education events  141,083 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  49,035 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,099 
Expected Medicare recoveries attributable to the project  $32,091 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $153 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $32,244 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $544,504 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    28   
 
 
Colorado  State of Colorado Division of Insurance  DORA 
 
Performance measures  Total for 2019 
Total number of active SMP team members  84 
Total number of SMP team member hours  11,281 
Number of group outreach and education events  432 
Estimated number of people reached through group outreach and education events  17,464 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,689 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,027 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $8,435 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $8,435 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $279,641 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    29   
 
Connecticut  State of Connecticut Department of Rehabilitation 
 
Performance measures  Total for 2019 
Total number of active SMP team members  69 
Total number of SMP team member hours  5,479 
Number of group outreach and education events  242 
Estimated number of people reached through group outreach and education events  6,902 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  135 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $268,211 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    30   
 
Delaware   Delaware DHSS  Division of Social Services  
 
Performance measures  Total for 2019 
Total number of active SMP team members  22 
Total number of SMP team member hours  6,969 
Number of group outreach and education events  175 
Estimated number of people reached through group outreach and education events  4,746 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  61 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $123 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $241,734 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    31   
District of Columbia  AARP Legal Counsel for the Elderly 
 
Performance measures  Total for 2019 
Total number of active SMP team members  51 
Total number of SMP team member hours  6,068 
Number of group outreach and education events  238 
Estimated number of people reached through group outreach and education events  5,690 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  121 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $235,290 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    32   
 
Florida  Florida Department of Elder Affairs  
 
Performance measures  Total for 2019 
Total number of active SMP team members  389 
Total number of SMP team member hours  53,922 
Number of group outreach and education events  1,589 
Estimated number of people reached through group outreach and education events  61,993 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  27,212 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $460,557 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    33   
 
Georgia  eQHealth Solutions, Inc.  
 
Performance measures  Total for 2019 
Total number of active SMP team members  34 
Total number of SMP team member hours  7,273 
Number of group outreach and education events  146 
Estimated number of people reached through group outreach and education events  17,469 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  409 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $293,835 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    34   
 
Guam  Guam Department of Public Health and Social Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  9 
Total number of SMP team member hours  359 
Number of group outreach and education events  67 
Estimated number of people reached through group outreach and education events  955 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  360 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $95,000 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    35   
 
 
Hawaii  State of Hawaii Department of Health 
 
Performance measures  Total for 2019 
Total number of active SMP team members  62 
Total number of SMP team member hours  4,367 
Number of group outreach and education events  99 
Estimated number of people reached through group outreach and education events  10,914 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  107 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,407 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $287 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $287 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $245,764 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    36   
 
Idaho  Idaho Commission on Aging  
 
Performance measures  Total for 2019 
Total number of active SMP team members  100 
Total number of SMP team member hours  11,290 
Number of group outreach and education events  511 
Estimated number of people reached through group outreach and education events  20,494 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,637 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $7,311 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $1,004 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $1,004 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $249,508 
 
 
 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    37   
 
 
Illinois  AgeOptions 
 
Performance measures  Total for 2019 
Total number of active SMP team members  92 
Total number of SMP team member hours  8,222 
Number of group outreach and education events  654 
Estimated number of people reached through group outreach and education events  31,417 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,878 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $358,863 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    38   
 
Indiana   Indiana Association of Area Agencies on Aging Education Institute 
 
Performance measures  Total for 2019 
Total number of active SMP team members  81 
Total number of SMP team member hours  7,226 
Number of group outreach and education events  469 
Estimated number of people reached through group outreach and education events  36,365 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,315 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $1,159 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $1,159 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $303,697 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    39   
 
Iowa   Iowa Insurance Division - SHIP 
 
Performance measures  Total for 2019 
Total number of active SMP team members  367 
Total number of SMP team member hours  15,501 
Number of group outreach and education events  430 
Estimated number of people reached through group outreach and education events  18,612 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13,050 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $268,734 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    40   
 
 
Kansas  Kansas Department on Aging and Disability Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  94 
Total number of SMP team member hours  5,775 
Number of group outreach and education events  405 
Estimated number of people reached through group outreach and education events  29,251 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,227 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $262,153 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    41   
 
Kentucky  Louisville-Jefferson County Metro Government 
 
Performance measures  Total for 2019 
Total number of active SMP team members  114 
Total number of SMP team member hours  12,043 
Number of group outreach and education events  537 
Estimated number of people reached through group outreach and education events  22,710 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,593 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $299 
Expected Medicare recoveries attributable to the project  $1,706 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $341 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $2,047 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $288,445 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    42   
 
 
Louisiana  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  86 
Total number of SMP team member hours  6,012 
Number of group outreach and education events  198 
Estimated number of people reached through group outreach and education events  32,680 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  335 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,595 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $4,475 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $4,475 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $280,508 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    43   
 
 
Maine  Maine Department of Health and Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  121 
Total number of SMP team member hours  11,574 
Number of group outreach and education events  450 
Estimated number of people reached through group outreach and education events  10,208 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,445 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $251,160 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    44   
 
Maryland  Maryland Department of Aging 
 
Performance measures  Total for 2019 
Total number of active SMP team members  115 
Total number of SMP team member hours  8,346 
Number of group outreach and education events  401 
Estimated number of people reached through group outreach and education events  24,734 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  12,122 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $287,337 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    45   
 
 
Massachusetts  Elder Services of the Merrimack Valley, Inc.  
 
Performance measures  Total for 2019 
Total number of active SMP team members  63 
Total number of SMP team member hours  7,667 
Number of group outreach and education events  183 
Estimated number of people reached through group outreach and education events  8,960 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  206 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $3,388 
Expected Medicare recoveries attributable to the project  $1,980 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $228 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $145 
Total savings attributable to the project  $2,353 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $304,115 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    46   
 
 
Michigan  MMAP, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  845 
Total number of SMP team member hours  24,678 
Number of group outreach and education events  723 
Estimated number of people reached through group outreach and education events  62,068 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,919 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $349,226 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    47   
 
Minnesota  Minnesota Board on Aging 
 
Performance measures  Total for 2019 
Total number of active SMP team members  186 
Total number of SMP team member hours  9,885 
Number of group outreach and education events  1,064 
Estimated number of people reached through group outreach and education events  20,610 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  914 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $289,395 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    48   
 
Mississippi  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  22 
Total number of SMP team member hours  6,051 
Number of group outreach and education events  215 
Estimated number of people reached through group outreach and education events  20,409 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  368 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $155 
Expected Medicare recoveries attributable to the project  $614 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $614 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $268,448 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    49   
 
 
Missouri  District III Area Agency on Aging 
 
Performance measures  Total for 2019 
Total number of active SMP team members  110 
Total number of SMP team member hours  5,125 
Number of group outreach and education events  1,725 
Estimated number of people reached through group outreach and education events  73,877 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  463 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $303,543 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    50   
 
Montana  Missoula Aging Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  79 
Total number of SMP team member hours  5,547 
Number of group outreach and education events  537 
Estimated number of people reached through group outreach and education events  14,476 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,723 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $364 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $244,059 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    51   
 
 
Nebraska  Nebraska Department of Insurance 
 
Performance measures  Total for 2019 
Total number of active SMP team members  185 
Total number of SMP team member hours  8,146 
Number of group outreach and education events  399 
Estimated number of people reached through group outreach and education events  17,673 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  11,066 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $251,030 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    52   
 
 
Nevada  Nevada Department of Health and Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  74 
Total number of SMP team member hours  12,287 
Number of group outreach and education events  481 
Estimated number of people reached through group outreach and education events  20,224 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,240 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $866 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $258,416 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    53   
 
New Hampshire  Department of Health and Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  55 
Total number of SMP team member hours  2,768 
Number of group outreach and education events  386 
Estimated number of people reached through group outreach and education events  11,535 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,784 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $247,505 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    54   
 
New Jersey  Jewish Family & Vocational Service of Middlesex County 
 
Performance measures  Total for 2019 
Total number of active SMP team members  30 
Total number of SMP team member hours  6,063 
Number of group outreach and education events  222 
Estimated number of people reached through group outreach and education events  9,732 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  325 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,511 
Expected Medicare recoveries attributable to the project  $2,335,617 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $191 
Total savings attributable to the project  $2,335,808 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $319,231 
 
 
 
 
 
 
 
   
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    55   
   
New Mexico  New Mexico Aging and Long-Term Services Department 
 
Performance measures  Total for 2019 
Total number of active SMP team members  44 
Total number of SMP team member hours  3,063 
Number of group outreach and education events  400 
Estimated number of people reached through group outreach and education events  11,565 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,949 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $13,403 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $306 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $306 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $254,579 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    56   
 
 
New York  New York Statewide Senior Action Council, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  37 
Total number of SMP team member hours  10,144 
Number of group outreach and education events  553 
Estimated number of people reached through group outreach and education events  47,189 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,649 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $429,943 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    57   
 
 
North Carolina  North Carolina Department of Insurance 
 
Performance measures  Total for 2019 
Total number of active SMP team members  313 
Total number of SMP team member hours  18,384 
Number of group outreach and education events  1,163 
Estimated number of people reached through group outreach and education events  123,837 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13,949 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $345,437 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    58   
 
North Dakota  Minot State University 
 
Performance measures  Total for 2019 
Total number of active SMP team members  114 
Total number of SMP team member hours  4,931 
Number of group outreach and education events  822 
Estimated number of people reached through group outreach and education events  20,860 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  134 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $238,000 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    59   
 
 
Ohio  Pro Seniors, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  63 
Total number of SMP team member hours  7,304 
Number of group outreach and education events  548 
Estimated number of people reached through group outreach and education events  95,297 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  391 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,261 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $364,851 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    60   
 
Oklahoma  Oklahoma Insurance Department 
 
Performance measures  Total for 2019 
Total number of active SMP team members  36 
Total number of SMP team member hours  5,837 
Number of group outreach and education events  647 
Estimated number of people reached through group outreach and education events  51,745 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,408 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $274,467 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    61   
 
Oregon   DHS, Office of Financial Services, Director's Office 
 
Performance measures  Total for 2019 
Total number of active SMP team members  205 
Total number of SMP team member hours  9,991 
Number of group outreach and education events  569 
Estimated number of people reached through group outreach and education events  23,362 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,574 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $279,193 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    62   
 
 
Penn  sylvania  Center for Advocacy for the Rights and Interests of Elders 
 
 
Performance measures  Total for 2019 
Total number of active SMP team members  41 
Total number of SMP team member hours  7,980 
Number of group outreach and education events  247 
Estimated number of people reached through group outreach and education events  9,625 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,107 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $1,095 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $1,095 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $387,150 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    63   
 
 
Puerto Rico  Hispanic-American Institute, Inc.  
 
Performance measures  Total for 2019 
Total number of active SMP team members  7 
Total number of SMP team member hours  4,476 
Number of group outreach and education events  77 
Estimated number of people reached through group outreach and education events  5,389 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $258,060 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    64   
 
 
Rhode Island   RI Department of Elderly Affairs 
 
Performance measures  Total for 2019 
Total number of active SMP team members  87 
Total number of SMP team member hours  12,896 
Number of group outreach and education events  832 
Estimated number of people reached through group outreach and education events  70,147 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,864 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $242,145 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    65   
 
 
South Carolina  South Carolina Office of Lieutenant Governor 
 
Performance measures  Total for 2019 
Total number of active SMP team members  30 
Total number of SMP team member hours  5,296 
Number of group outreach and education events  360 
Estimated number of people reached through group outreach and education events  27,680 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,509 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $290,985 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    66   
 
 
South Dakota  South Dakota Department of Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  70 
Total number of SMP team member hours  3,444 
Number of group outreach and education events  52 
Estimated number of people reached through group outreach and education events  2,474 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,420 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $240,734 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    67   
 
 
Tennessee  Upper Cumberland Development District 
 
Performance measures  Total for 2019 
Total number of active SMP team members  379 
Total number of SMP team member hours  20,104 
Number of group outreach and education events  802 
Estimated number of people reached through group outreach and education events  82,820 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  36,502 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,582 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $416 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $416 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $310,478 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    68   
 
 
Texas  Better Business Bureau Educational Foundation 
 
Performance measures  Total for 2019 
Total number of active SMP team members  191 
Total number of SMP team member hours  10,129 
Number of group outreach and education events  1,014 
Estimated number of people reached through group outreach and education events  47,352 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,024 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $446,096 
 
 
 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    69   
   
U.S. Virgin Islands  Legal Services of the Virgin Islands, Inc.  
 
Performance measures  Total for 2019 
Total number of active SMP team members  6 
Total number of SMP team member hours  1,009 
Number of group outreach and education events  16 
Estimated number of people reached through group outreach and education events  2,541 
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 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $95,000 
Memorandum Report:  2019 Performance Data for the Senior Medicare Patrol Projects (OEI-02-20-00150)                    70   
 
 
Utah  Utah Department of Human Services 
 
Performance measures  Total for 2019 
Total number of active SMP team members  189 
Total number of SMP team member hours  18,023 
Number of group outreach and education events  1,269 
Estimated number of people reached through group outreach and education events  45,893 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  18,014 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $934 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $934 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $252,386 
 
 
 
 
 
 
 
 
 
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Vermont  Community of Vermont Elders 
 
Performance measures  Total for 2019 
Total number of active SMP team members  28 
Total number of SMP team member hours  5,380 
Number of group outreach and education events  109 
Estimated number of people reached through group outreach and education events  2,278 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  37 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $239,232 
 
 
 
 
 
 
 
 
 
 
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Virginia  Virginia Association of Area Agencies on Aging, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  108 
Total number of SMP team member hours  10,802 
Number of group outreach and education events  554 
Estimated number of people reached through group outreach and education events  34,732 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,910 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $316,512 
 
 
 
 
 
 
 
 
 
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Washington  Washington State Office of the Insurance Commissioner 
 
Performance measures  Total for 2019 
Total number of active SMP team members  155 
Total number of SMP team member hours  7,531 
Number of group outreach and education events  471 
Estimated number of people reached through group outreach and education events  19,118 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13,784 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,816 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $1,951 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $1,951 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $305,750 
 
 
 
 
 
 
 
 
 
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West Virginia   West Virginia Bureau of Senior Srvcs. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  75 
Total number of SMP team member hours  5,993 
Number of group outreach and education events  610 
Estimated number of people reached through group outreach and education events  24,184 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,836 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $258,072 
 
 
 
 
 
 
 
 
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Wisconsin   Greater Wisconsin Agency on Aging Resources, Inc.                                
 
Performance measures  Total for 2019 
Total number of active SMP team members  20 
Total number of SMP team member hours  4,389 
Number of group outreach and education events  129 
Estimated number of people reached through group outreach and education events  13,269 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  175 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $298,546 
 
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Wyoming  Wyoming Senior Citizens, Inc. 
 
Performance measures  Total for 2019 
Total number of active SMP team members  75 
Total number of SMP team member hours  8,445 
Number of group outreach and education events  98 
Estimated number of people reached through group outreach and education events  3,749 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,181 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $12,016 
Expected Medicare recoveries attributable to the project  $9,352 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $9,352 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $236,651 
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APPENDIX F 
Definitions of Performance Measures 
Total number of active SMP  Individuals who spent any time on the SMP program, including those paid by 
team members  the SMP program, those paid in kind, and volunteer team members. 
Hours contributed by team members while performing SMP work and receiving 
Total number of SMP team 
training to perform SMP work, including time spent by team members paid by 
member hours 
the SMP program, team members paid in kind, and volunteer team members. 
Community outreach events, education activities, and presentations to educate 
Number of group outreach 
beneficiaries, family members, caregivers, and others about SMP services and 
and education events 
the detection of health care fraud, errors, and abuse. 
Estimated number of people  Total estimated number of people reached as a result of SMP group outreach 
reached through group  and education activities. 
outreach and education events 
Number of individual  Individual interactions between SMP team members and beneficiaries, family 
interactions with, or on behalf  members, caregivers, or others for the purpose of discussing or gathering 
of, a Medicare beneficiary  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. 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Expected Medicare recoveries  agreed upon to be returned to Medicare and may not reflect actual collections.  
attributable to the projects  Recoveries may also involve cases that include participation by a Medicare 
contractor or a law enforcement agency.  This measure includes recoveries 
from referrals that led to the opening of an investigation or from meaningful 
contributions to an existing investigation by an SMP project. 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Additional expected Medicare  agreed upon to be returned to Medicare and may not reflect actual 
recoveries attributable to the  collections.  Recoveries may also involve cases that include participation by 
projects  a Medicare contractor or a law enforcement agency.  This measure includes 
recoveries from referrals that validated information in an existing investigation.  
This measure aims to capture additional recoveries in which the SMP project 
was minimally involved. 
 
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Definitions of Performance Measures (continued)  
This amount represents actual and expected Medicaid recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Expected Medicaid recoveries  agreed upon to be returned to Medicaid and may not reflect actual 
attributable to the projects  collections.  Recoveries may also involve cases that include participation by a 
Medicaid Fraud Control Unit or a law enforcement agency.  This measure 
includes recoveries from referrals that led to the opening of an investigation or 
from meaningful contributions to an existing investigation by an SMP project. 
This amount represents actual and expected Medicaid recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
Additional expected Medicaid  upon to be returned to Medicaid and may not reflect actual 
recoveries attributable to the  collections.  Recoveries may also involve cases that include participation by 
projects  a Medicaid contractor or a law enforcement agency.  This measure includes 
recoveries from referrals that validated information in an existing investigation.  
This measure aims to capture additional recoveries in which the SMP project 
was minimally involved. 
Savings to beneficiaries  Money recouped to an individual as a result of the SMP project (e.g., 
attributable to the projects  copayments, deductibles, or any other out-of-pocket expenses). 
Other savings attributable to  Money recouped to an entity other than Medicare, Medicaid, or a beneficiary 
the projects (e.g., savings to  (e.g., a secondary health insurer) as a result of the SMP project. 
supplemental insurance) 
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