DEPARTMENT OF HEALTH AND HrnvlAN SERVICES 
OFFICE OF INSPECTOR GENERAL 
WASHINGTON, DC  20201 
JUN  I 3 2016 
TO: 	 John Wren 
Deputy Administrator for the Center for Integrated Programs 
Administration for Community Living 
FROM: 
SUBJECT: 	 Memorandum Report:  Performance Data/or the Senior Medicare Patrol 
Projects:  June 2016 Performance Report, OEI-02-16-00190 
This memorandum report presents perfmmance data for the Senior Medicare Patrol (SMP) 
projects for 2015.  The Office oflnspector General (OIG) has collected these data since 
1997.  In 2010, the Administration on Aging (AoA), which is now part of the 
Administration for Community Living (ACL), requested that OIG continue to collect and 
report performance data for the projects to support its efforts to evaluate and improve their 
performance.  In 2015, ACL implemented a number of major changes.  It substantially 
changed a number.ofthe performance measures and implemented a new data system mid
year.  As a result, ACL requested that for 2015, OIG focus its report on the perfmmance 
measures that did not change, which relate to recoveries, savings, and cost avoidance.  OIG 
agreed to conduct the report in accordance with that request. 
SUMMARY 
ACL provides grants to the SMP projects to recruit and train retired professionals and other 
senior citizens to prevent, recognize, and report health care fraud, errors, and abuse.  These SMP 
volunteers then participate in outreach events to help educate other Medicare and Medicaid 
beneficiaries to do the same.  In 2015, the 54 projects had the following results: 
 	 $2.5 million in expected Medicare recoveries that were attributable to the projects, a 
282-percent increase from 2014. 
 	 No expected Medicaid recoveries. 
 	 $35,059 in total savings to beneficiaries and others, a 56-percent decrease from 2014. 
 	 $21,533 in cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others, 
an 89-percent decrease from 2014. 
We continue to emphasize 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,  Page 2  John Wren 
 
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 reduce fraud and errors. 
 
BACKGROUND 
 
There is one SMP project in each of the 50 States, the District of Columbia, Puerto Rico, Guam, 
and the U.S. Virgin Islands.  In 2015, funding for the projects totaled $17.6 million
$8.9 million from ACLs Older Americans Act funding, and $8.7 million in Health Care Fraud 
and Abuse Control Program (HCFAC) funding.  Of the $8.7 million in HCFAC funding, $3.4 
million supported infrastructure, technical assistance, and other SMP project activities, and $5.3 
million was designated for expanding the projects capacity to detect and prevent fraud.  In 2014, 
funding for the projects was $15.5 million.  
 
Performance Measures 
This report focuses solely on the performance measures related to Medicare and Medicaid 
recoveries, savings, and cost avoidance.  ACL made no changes to these measures in 2015.  
Since the programs inception, ACL has modified these measures in the following ways.  In 
2007, the projects were required to begin measuring cost avoidancethe health care 
expenditures for which Medicare, Medicaid, a beneficiary, or another entity (e.g., a secondary 
health insurer or a pharmacy) was relieved of responsibility for payment as a result of the 
projects.  In 2012, ACL expanded the performance measures for both Medicare and Medicaid 
recoveries to account for expected recoveries as well as actual recoveries.  This is consistent with 
the way OIG reports its recoveries.1   
 
ACL changed the other performance measures substantially beginning in September 2015.  
ACLs goal was to align performance objectives more closely with the SMP programs 
outcomes.  To do that, ACL reduced the number of performance measures to 10, from 21 
previously.  ACL kept the five measures pertaining to recoveries, savings, and cost avoidance 
and created five additional measures that combined or redefined the prior measures pertaining to 
volunteer and outreach activities.  In addition, ACL no longer requires the projects to report on 
the number of media airings and their tracking of complex issues.   
 
Tracking Systems 
Beginning in October 2015, ACL implemented a new reporting system called SMP Information 
and Reporting System (SIRS).  The SMP projects are required to use this system to track and 
report activities and complaints and to refer cases to an investigative agency when necessary. 
______________________________________________________________________________ 
1 As required by the Inspector General Act of 1978 (P.L. No. 95-452), as amended, OIG reports semiannually to the 
Secretary of Health and Human Services and to Congress on the activities of the office.  In the semiannual report, 
OIG reports expected recoveries.  See the most recent semiannual report at https://oig.hhs.gov/reports-and-
publications/semiannual/index.asp. 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)  Page 3  John Wren 
 
Prior to implementing this system, ACL used a Web-based system named the Seniors Medicare 
Assistance and Reporting Tool for Fraud and Complaint Tracking System (SMART FACTS).   
 
METHODOLOGY   
 
We based our review on data reported by 54 SMP projects for 2015.2  We focused this report on 
the performance measures related to recoveries, savings, and cost avoidance.  At ACLs request, 
we did not include the other performance measures, because ACL had changed them and 
implemented a new reporting system midyear.  
 
To conduct this review, we requested and reviewed the projects documentation for expected 
recoveries of funds for the Medicare and Medicaid programs.  We also requested and reviewed 
documentation for savings to beneficiaries and others that were attributable to the projects, as 
well as documentation for cost avoidance.  We have provided the results of the current 
performance measures in detail in the appendixes. 
 
Standards 
This study was conducted in accordance with the Quality Standards for Inspection and 
Evaluation issued by the Council of the Inspectors General on Integrity and Efficiency. 
 
RESULTS 
 
Results for 2015 
In 2015, the SMP projects reported $2.5 million in expected Medicare recoveries that were 
attributable to their projects.  Almost all of these recoveries resulted from one projects efforts, 
which led to the conviction of a hospice company owner for Medicare fraud.  Expected Medicare 
recoveries in 2015 increased by 282 percent from $660,829 in 2014.3  In 2015, the projects did 
not report any expected Medicaid recoveries; in 2014, they reported $504.  
 
In 2015, the projects reported a total of $35,059 savings to beneficiaries and others.  This was a 
56 percent decrease from $80,228 in 2014.  The majority of the savings reported in 2015 was the 
result of one projects efforts involving four separate beneficiary complaints pertaining to one 
provider.  The provider had charged the beneficiaries for monthly treatments when Medicare 
covered these treatments.  The SMP project helped the beneficiaries obtain refunds from the 
provider.  In addition, the projects reported a total of $21,533 in cost avoidance on behalf of 
______________________________________________________________________________ 
2 In June 2015, the SMP projects in Florida, Mississippi, Nebraska, New York, and South Dakota were replaced by 
new grantees.  In addition, West Virginia did not have an SMP project in 2014; a new grantee began in June 2015. 
3 Expected Medicare and Medicaid recoveries may vary widely from year to year depending on the number and 
nature of the cases that are resolved each year.  In 2014, expected Medicare and Medicaid recoveries were $661,333; 
in 2013, they were $9.1 million. 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)  Page 4  John Wren 
 
Medicare, Medicaid, beneficiaries, and others.  This was a substantial decrease of 89 percent 
from $200,598 in 2014.   
 
Results Since 1997 
Since the programs inception 18 years ago, 72 SMP projects have reported performance data.  In 
total, expected recoveries to Medicare and Medicaid attributable to the projects amounted to 
$117.6 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 million.  Finally, total cost avoidance on behalf 
of Medicare, Medicaid, beneficiaries, and others was $9 million.  
 
CONCLUSION 
 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
senior citizens to recognize and report instances or patterns of health care fraud.  In 2015, results 
attributable to their efforts included $2.5 million in expected Medicare recoveries and total 
savings to beneficiaries and others of $35,059.   
 
We continue to emphasize 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 reduce fraud and errors. 
 
We are issuing this memorandum report 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-02-16-00190 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services
______________________________________________________________________________ 
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 only actual 
recoveries. 
5 The project reported these savings between 2001 and 2003. 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
 
List of Appendixes 
 
Appendix A:  Summary of Overall Performance of Projects Since 1997..........................................6 
 
Appendix B:  Summary of Overall Performance of Projects in 2015.................................................7 
 
Appendix C:  Results for 2015, by Performance Measure..............................................................8 
 
Appendix D:  Results for 2015, by Project............................................................................. 14 
 
Appendix E:  Definitions of Performance Measures................................................................. 33   
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       5   
APPENDIX A 
 
 
 
 
Summary of Overall Performance of Projects Since 1997 
 
 
 
PERFORMANCE MEASURES  Total Since 1997 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others*  $9,061,320 
Expected Medicare recoveries attributable to the projects**  $22,831,091 
Expected Medicaid recoveries attributable to the projects**  $94,812,297 
Actual savings to beneficiaries attributable to the projects  $3,531,853 
Other savings attributable to the projects (e.g., Supplemental Insurance)  $3,472,002 
Total savings attributable to the projects ***  $124,647,243 
    * Performance measure was reported as of 2007. 
  ** Performance measure was changed to include actual and expected recoveries as of 2012.  Prior to 2012, the 
measure only included actual recoveries.   
*** Total savings does not include cost avoidance. 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       6   
APPENDIX B 
 
 
 
 
Summary of Overall Performance of Projects in 2015 
 
 
 
PERFORMANCE MEASURES  Total for 2015 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $21,533 
Expected Medicare recoveries attributable to the projects  $2,525,838 
Expected  Medicaid recoveries attributable to the projects  $0 
Actual savings to beneficiaries attributable to the projects  $34,921 
Other savings attributable to the projects (e.g., Supplemental Insurance)  $138 
Total savings attributable to the projects *  $2,560,898 
* Total savings does not include cost avoidance. 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       7   
 
APPENDIX C 
 
Results for 2015, by Performance Measure 
 
The following tables provide the results by performance measure for each of the 54 Senior Medicare Patrol 
projects. 
   
 
Note:  The total amounts for some performance measures may not match the sum of each of these performance 
measures in Appendix B because of rounding.  
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       8   
 
Cost Avoidance on Behalf of Medicare, Medicaid, Beneficiaries, or Others 
 
  Total for 2015         Total for 2015 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $658    New Hampshire  $0 
California  $3,585    New Jersey   $46 
Colorado  $2,115    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $85    Ohio   $5,353 
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  $544    South Dakota  $0 
Kansas  $0    Tennessee  $225 
Kentucky  $0    Texas   $0 
Louisiana  $850    U.S. Virgin Islands  $0 
Maine  $701    Utah  $6,180 
Maryland  $0    Vermont  $0 
Massachusetts  $0    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $1,192 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       9   
 
Expected Medicare Recoveries Attributable to the Projects 
 
  Total for 2015      Total for 2015 
Alabama  $0    Montana  $0 
Alaska  $92    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $1,431    New Jersey   $0 
Colorado  $293    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $1,916    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $0 
Georgia   $0    Oklahoma  $2,519,813 
Guam  $0    Oregon   $0 
Hawaii  $40    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  $104    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  $2,148 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       10   
 
Expected Medicaid Recoveries Attributable to the Projects 
 
  Total for 2015         Total for 2015 
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 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       11   
 
Actual Savings To Beneficiaries Attributable to the Projects 
 
  Total for 2015         Total for 2015 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $41    New Jersey   $1,580 
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   $760 
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  $40 
Kentucky  $28,500    Texas   $0 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $1,692 
Maryland  $0    Vermont  $0 
Massachusetts  $0    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $2,308 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       12   
 
Other Savings Attributable to the Projects 
 
  Total for 2015         Total for 2015 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $63 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $0 
Colorado  $75    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 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)       13   
APPENDIX D 
 
Results for 2015, by Project 
 
The following tables provide a project-by-project listing of the results for each performance measure for each of 
the 54 Senior Medicare Patrol projects in 2015.  The measure for total savings does not include cost avoidance. 
In addition, the tables include the grant total, which is the total amount that each project received in 2015. 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   14   
 
 
Alabama  Department of Senior Services, Montgomery 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:   $268,341 
 
 
 
 
  Alaska  Health and Social Services, Medicare Information Office, Anchorage 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $92 
 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $92 
  Grant Total:   $224,200 
 
 
 
 
Arizona Division of Aging and Adult Services, Phoenix 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
Actual savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
Total savings attributable to the project  $0 
Grant Total:   $273,334 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   15   
 
  Arkansas Department of Human Services, Division of Aging and Adult Services, Little 
  Rock 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $658 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:  $251,265 
 
 
 
California  California Health Advocates, Santa Ana 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $3,585 
  Expected Medicare recoveries attributable to the project  $1,431 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $41 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $1,472 
 
Grant Total:   $483,831 
 
 
 
  Colorado  Colorado Department of Regulatory Agencies, Division of Insurance, Denver 
 
  PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,115 
 
Expected Medicare recoveries attributable to the project  $293 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $75 
 
Total savings attributable to the project  $368 
Grant Total:   $257,369 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   16   
 
Connecticut  Connecticut Department of Social Services, Aging Services Division, 
 
Hartford 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $250,017 
 
 
 
  Delaware   Delaware Division of Services for Aging and Adults with Physical 
  Disabilities, New Castle 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $1,916 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
  Total savings attributable to the project  $1,916 
 
Grant Total:   $228,848 
 
 
 
  District of Columbia  AARP Legal Counsel for the Elderly, Washington, DC 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
  Grant Total:   $224,071 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   17   
  Florida  eQHealth Solutions, Baton Rouge, LA * 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $85 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
  Grant Total:  $407,689 
 
* New grantee in 2015 
 
 
 
 
Georgia  GeorgiaCares, Atlanta 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $295,672 
 
 
 
  Guam  Department of Public Health & Social Services, Division of Senior Citizens, 
  Mangilao 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
  Total savings attributable to the project  $0 
 
Grant Total:   $93,431 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   18   
 
 
Hawaii Executive Office on Aging, Honolulu 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $40 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $40 
 
Grant Total:   $232,054 
 
 
 
 
Idaho  Idaho Commission on Aging, Boise 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $234,603 
 
 
 
 
Illinois  AgeOptions, Oak Park 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $320,960 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   19   
 
Indiana  Indiana Association of AAAs, IAAA Education Institute, Indianapolis 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:   $277,238 
 
 
 
  Iowa  Northeast Iowa AAA, Waterloo 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $544 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:   $250,161 
 
 
 
 
Kansas  Department for Aging and Disability Services, Topeka 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $245,008 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   20   
 
  Kentucky  Louisville Metro Department of Public Health & Wellness,  
  Louisville 
   
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $104 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $28,500 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $28,604 
 
Grant Total:   $269,811 
 
 
 
  Louisiana  eQHealth Solutions, Baton Rouge 
 
PERFORMANCE MEASURES  Total for 2015 
 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $850 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:   $258,963 
 
 
 
  Maine  Legal Services for the Elderly, Augusta 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $701 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:   $236,381 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   21   
 
 
Maryland  Maryland Department of Aging, Baltimore 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $264,099 
 
 
 
 
Massachusetts  Elder Services of the Merrimack Valley, Inc., Lawrence 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $277,489 
 
 
 
 
Michigan  MMAP, Inc., Lansing 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $313,037 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   22   
  Minnesota  Minnesota Board of Aging, Dept. of Human Services, Aging and Adult 
  Services Div., Saint Paul 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:  $265,721 
 
 
 
Mississippi  eQHealth Solutions, Baton Rouge, LA * 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:  $249,980 
 
  * New grantee in 2015 
 
 
 
 
Missouri  Care Connection for Aging Services, Warrensburg 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $277,318 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   23   
 
Montana  Missoula Aging Services, Missoula 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $230,678 
 
 
 
 
Nebraska  Nebraska SHIP, Lincoln * 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:  $236,224 
 
* New grantee in 2015 
 
 
 
 
  Nevada  Division of Aging and Disability Services, Las Vegas 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $63 
 
Total savings attributable to the project  $63 
 
  Grant Total:   $241,102 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   24   
  New Hampshire  Health and Human Services  Bureau of Elderly & Adult Services, 
  Concord 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:   $233,449 
 
 
 
  New Jersey  Jewish Family & Vocational Services of Middlesex County, Inc., Milltown 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $46 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $1,580 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $1,580 
 
Grant Total:   $288,950 
 
 
 
  New Mexico  Aging and Long-Term Services Department, Santa Fe  
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:   $238,716 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   25   
 
 
New York Services and Advocacy for GLBT Elders, New York * 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:  $379,921 
 
* New grantee in 2015 
 
 
 
 
North Carolina  Department of Insurance, Raleigh 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:  $308,490 
 
 
 
  North Dakota  North Dakota Center for Persons with Disabilities, Minot 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
  Grant Total:   $226,198 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   26   
 
 
Ohio  Pro Seniors, Inc., Cincinnati 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $5,353 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $325,128 
 
 
 
 
Oklahoma  Oklahoma Insurance Department, Oklahoma City 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $2,519,813 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $2,519,813 
 
Grant Total:   $254,642 
 
 
 
 
Oregon  Department of Human Services, Seniors & People with Disabilities, Salem 
 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $760 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $760 
 
Grant Total:   $257,102 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   27   
 
  Pennsylvania  Center for Advocacy for the Rights and Interests of the Elderly, 
  Philadelphia 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:   $343,230 
 
 
 
Puerto Rico Ombudsman Office for the Elderly, Santurce 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $256,546 
 
 
 
   
  Rhode Island  Department of Human Services, Division of Elderly Affairs, Cranston 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
  Total savings attributable to the project  $0 
 
Grant Total:   $229,489 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   28   
  South Carolina  Lt. Governors Office on Aging, Columbia 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
  Grant Total:   $266,260 
 
 
 
  South Dakota  Department of Social Services, Division of Adult Services and Aging, 
  Pierre * 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
 
Grant Total:  $228,228 
  * New grantee in 2015 
 
 
 
  Tennessee  Upper Cumberland Development District, Cookeville 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $225 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $40 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $40 
  Grant Total:   $282,160 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   29   
 
 
Texas  Better Business Bureau Education, Houston 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $394,572 
 
 
 
 
U.S. Virgin Islands  Senior Citizens Affairs, St. Croix 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
  Total savings attributable to the project  $0 
 
Grant Total:   $75,000 
 
 
 
  Utah  Utah Division of Aging and Adult Services, Salt Lake City 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $6,180 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $1,692 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $1,692 
  Grant Total:   $236,864 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   30   
 
 
Vermont  Community of Vermont Elders, Berlin 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $227,109 
 
 
 
 
  Virginia  Virginia Association of Area Agencies on Aging, Richmond 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
  Grant Total:   $286,589 
 
 
 
Washington  Office of the Insurance Commissioner, Tumwater 
 
 
PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
 
Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $0 
 
Grant Total:   $277,174 
 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   31   
 
West Virginia  Bureau of Senior Services, Charleston * 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
  Expected Medicare recoveries attributable to the project  $0 
  Expected Medicaid recoveries attributable to the project  $0 
 
Actual savings to beneficiaries attributable to the project  $0 
 
  Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
  Total savings attributable to the project  $0 
 
Grant Total:  $242,072 
 
* New grantee in 2015 
 
 
 
 
  Wisconsin  Coalition of Wisconsin Aging Groups, Madison 
 
  PERFORMANCE MEASURES  Total for 2015 
 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
 
Expected Medicare recoveries attributable to the project  $0 
 
  Expected Medicaid recoveries attributable to the project  $0 
  Actual savings to beneficiaries attributable to the project  $0 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
  Total savings attributable to the project  $0 
  Grant Total:   $272,900 
 
 
 
  Wyoming  Senior Citizens, Inc., Riverton 
 
PERFORMANCE MEASURES  Total for 2015 
 
  Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,192 
 
Expected Medicare recoveries attributable to the project  $2,148 
 
Expected Medicaid recoveries attributable to the project  $0 
 
  Actual savings to beneficiaries attributable to the project  $2,308 
 
Other savings attributable to the project (e.g., Supplemental Insurance)  $0 
 
Total savings attributable to the project  $4,456 
 
  Grant Total:   $225,040 
 
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   32   
 
APPENDIX E 
 
Definitions of Performance Measures 
 
 
COST AVOIDANCE  Health care expenditures for which the Government, a beneficiary, or 
other entity (e.g., secondary health insurer or a pharmacy) was relieved of 
responsibility for payment as a result of the SMP project. 
 
EXPECTED MEDICARE  This amount represents actual and expected recoveries  
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 upon to be returned to Medicare, and may not reflect 
actual collections.  Recoveries may also involve cases that include 
participation by a Medicare contractor or a law enforcement agency. 
 
EXPECTED MEDICAID   This amount represents actual and expected recoveries  
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 upon to be returned to Medicaid, and may not reflect 
actual collections.  Recoveries may also involve cases that include 
participation by a Medicaid Fraud Control Unit or a law enforcement 
agency. 
 
SAVINGS TO THE   Money saved by or recouped to an individual as a result of  
BENEFICIARY  the SMP project (e.g., copayments, deductibles, or any other out-of-pocket 
expenses). 
  
OTHER SAVINGS  Money saved or recouped to an entity other than Medicare, Medicaid, or a 
beneficiary (e.g., secondary health insurer) as a result of the SMP project.  
 
Performance Data for the Senior Medicare Patrol Projects:  June 2016 Performance Report (OEI-02-16-00190)   33