DEP.\ RT!\lE'\T OF HE.\LTH ,\ '\D H U!\!:\'\ SER\'IC:ES 
OFFICE OF INSPECTOR GENERAL 
11.,s111:,.:c;To"\, DC:  20201 
TO:  Kelly Cronin 
Deputy Administrator for the Center for Integrated Programs 
Administration for Community Living 
FROM: 
SUBJECT:  Memorandum Report:  2078 Performance Doto for the Senior /vledicore Patrol Projects, 
OEl-02-19-00280 
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) 
projects for 2018.  The Office of Inspector General (OIG) has collected these data since 1997. 
In July 2010, the Administration on Aging (AoA), which is part of the Administration for 
Community Living (ACL), requested that OIG continue to collect and report performance data 
for the projects to support its efforts to evaluate and improve their performance.  OIG reports 
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 
abu se.  These SMP team members then participate in outreach events to help educate Medicare 
and Medicaid beneficiaries to do the same.  In 2018, the 61 projects: 
  had 6,935 active team members; 
  conducted 26,932 group outreach and education events; and 
  had 278,761 individual interactions with, or on behalf of, a Medicare beneficiary. 
The projects also had the following results: 
  $15,136 in expected Medicare recoveries that were attributable to the projects;  Page 2  Kelly Cronin 
 
  $5,734 in expected Medicaid recoveries that were attributable to the projects;  
  $602,063 in cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others; and 
  $27,689 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 2018, two projects each operated in seven States during different time 
periods, for a total of 61 projects.  In 2018, funding for the program totaled $18.1 million in Health 
Care Fraud and Abuse Control Program (HCFAC) funding, including $142,317 in carryover funds.  
Of that $18.1 million, $2.6 million supported infrastructure, technical assistance, and other SMP 
program activities, and $15.6 million went to SMP projects to help beneficiaries prevent, detect, and 
report Medicare fraud, errors, and abuse.  In 2017, funding for the projects totaled $18.6 million.  
 
Performance Measures   
Since the beginning of the program, ACL has modified the performance measures in a number of 
ways.  In 2007, the projects were required to begin measuring cost avoidancethe health care 
expenditures for which Medicare, Medicaid, a beneficiary, or another entity (e.g., a secondary 
health insurer or a pharmacy) was relieved of responsibility for payment as a result of the projects.  
In 2012, ACL expanded the performance measures for both Medicare and Medicaid recoveries to 
account for expected recoveries as well as actual recoveries.  This is consistent with the way OIG 
reports its recoveries.1   
 
In 2015, ACL changed the 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 
______________________________________________________________________________ 
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. 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)    Page 3  Kelly Cronin 
 
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 
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 System (SIRS)for SMP 
projects to track and report activities and complaints.  While 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 SIRS by 61 SMP projects for 2018.  In this report, we 
provide the first 3 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 that 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.  Lastly, for the States that have two projects, we 
combined the data to report State-level totals when appropriate.  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 2018    
In 2018, the 61 SMP projects had a total of 6,935 total active team members who conducted a total 
of 26,932 group outreach and education events, reaching an estimated 1.7 million people.  In 
addition, the projects had 278,761 individual interactions with, or on behalf of, a Medicare 
beneficiary. 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)    Page 4  Kelly Cronin 
 
 
For 2018, the SMP projects reported $15,136 in expected Medicare recoveries and $5,734 in 
expected Medicaid recoveries.  Cost avoidance totaled $602,063, while savings to beneficiaries and 
others totaled $27,689.  Further, additional Medicare expected recoveries totaled $11.9 million.2  
These recoveries came from three projects that validated information for existing cases regarding 
two home health fraud schemes and one individual physician who provided unnecessary services 
and falsified records. 
 
In comparison to 2017, the projects reported a 23-percent increase in the number of individual 
interactions in 2018 (278,761, up from 226,261).  Although the number of group outreach and 
education events remained fairly constant between the 2 years, the projects experienced 
a decrease in the number of people reached through these channels (1.7 million, down from 
1.9 million).  In addition, the projects reported significantly higher amounts for cost avoidance 
($602,063, up from $211,749), while expected Medicare recoveries dropped ($15,136, down from  
$2 million).   
 
Results Since 1997  
Since the programs inception 22 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 2018 were 
$119.7 million.3  Most of the recoveries resulted from one projects involvement in adjustments to 
Medicaid claims for individuals entitled to both Medicare and Medicaid.4  Total savings to 
beneficiaries and others were approximately $7.1 million.  Total cost avoidance on behalf of 
Medicare, Medicaid, beneficiaries, and others was $10 million.  
 
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 2018, the SMP projects had a total of 6,935 total active team members who conducted a total of 
26,932 group outreach and education events, reaching an estimated 1.7 million people.  Results 
attributable to their efforts included $15,136 in expected Medicare recoveries, $5,734 in expected 
Medicaid recoveries, $602,063 in cost avoidance, and $27,689 in savings to beneficiaries and 
others.  In comparison to 2017, the projects reported a significantly higher amount for cost 
______________________________________________________________________________ 
2 Additional Medicare expected recoveries include actual and expected recoveries that resulted from SMP referrals that 
validated information in an existing investigation. 
3 Prior to 2007, OIG reviewed documentation on savings to Medicare only and included self-reported data on savings to 
Medicaid, beneficiaries, and other entities.  In addition, prior to 2012, the projects reported only actual recoveries.  
4 The project reported these savings between 2001 and 2003. 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)    Page 5  Kelly Cronin 
 
avoidance but a significantly lower amount for expected Medicare recoveries.  In 2018, the projects 
also reported $11.9 million in additional expected Medicare recoveries. 
 
We note that the projects may not be receiving full credit for recoveries, savings, and cost 
avoidance attributable to their work.  It is not always possible to track referrals to Medicare 
contractors or law enforcement from beneficiaries who have learned to detect fraud, waste, and 
abuse from the projects.  In addition, the projects are unable to track the potentially substantial 
savings derived from a sentinel effect, whereby Medicare beneficiaries scrutiny of their bills 
reduces fraud and errors. 
 
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-02-19-00280 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)     
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
List of Appendixes 
 
Appendix A:  Summary of Overall Performance of Projects in 2018 ............................................. 7 
 
Appendix B:  Summary of Performance on Recoveries, Savings,                                                            
and Cost Avoidance, Since 1997 ..................................................................................... 8 
 
Appendix C:  Summary of Performance on SMP Activities, 20162018 ....................................... 9 
 
Appendix D:  Results for 2018, by Performance Measure ............................................................... 10 
 
Appendix E:  Results for 2018, by Project ............................................................................................ 23 
 
Appendix F:  Definitions of Performance Measures ........................................................................ 85 
 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  6   
APPENDIX A 
Summary of Overall Performance of Projects in 2018* 
Performance measures  Total for 2018 
Total number of active SMP team members  6,935 
Total number of SMP team member hours  483,056 
Number of group outreach and education events  26,932 
Estimated number of people reached through group outreach and education events  1,713,194 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  278,761 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $602,063 
Expected Medicare recoveries attributable to the projects  $15,136 
Additional expected Medicare recoveries attributable to the projects**  $11,864,529 
Expected Medicaid recoveries attributable to the projects  $5,734 
Additional expected Medicaid recoveries attributable to the projects**   $0 
Savings to beneficiaries attributable to the projects  $27,689 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the projects***  $48,559 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  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*  $10,039,035 
Expected Medicare recoveries attributable to the projects**  $24,859,374 
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  $3,656,374 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $3,473,086 
Total savings attributable to the projects****  $126,806,865 
*  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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  8   
 
APPENDIX C                 
Summary of Performance on SMP Activities, 2016-2018 
Performance measures*  Total:  20162018 
Total number of active SMP team members  19,191 
Total number of SMP team member hours  1,331,826 
Number of group outreach and education events    79,581 
Estimated number of people reached through group outreach and education events  5,101,440 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  700,408 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  9   
APPENDIX D   
 
Results for 2018, by Performance Measure 
 
The following tables provide the results by performance measure and by State for the Senior Medicare Patrol projects.  In the 
States that included two projects, we combined their data in each State. 
   
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual figures 
listed here in Appendix D. 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  10   
Total number of active SMP team members 
 
         Total for 2018      Total for 2018 
Alabama  71    Montana  70 
Alaska  30    Nebraska  214 
Arizona   107    Nevada  77 
Arkansas  143    New Hampshire  50 
California  618    New Jersey   45 
Colorado  74    New Mexico  30 
Connecticut  86    New York  67 
Delaware  20    North Carolina   304 
District of Columbia   59    North Dakota  113 
Florida  227    Ohio   45 
Georgia   199    Oklahoma  43 
Guam  17    Oregon   256 
Hawaii  67    Pennsylvania  39 
Idaho  107    Puerto Rico  3 
Illinois  97    Rhode Island  102 
Indiana  66    South Carolina  30 
Iowa  399    South Dakota  67 
Kansas  70    Tennessee  426 
Kentucky  128    Texas   189 
Louisiana  47    U.S. Virgin Islands  1 
Maine  119    Utah  211 
Maryland  148    Vermont  29 
Massachusetts  42    Virginia   101 
Michigan   848    Washington   210 
Minnesota  111    West Virginia  66 
Mississippi  40    Wisconsin  47 
Missouri  99    Wyoming  61 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  11   
Total number of SMP team member hours 
 
  Total for 2018      Total for 2018 
Alabama  10,810    Montana  3,294 
Alaska  3,650    Nebraska  16,790 
Arizona   21,791    Nevada  10,819 
Arkansas  6,235    New Hampshire  2,000 
California  53,003    New Jersey   7,759 
Colorado  8,038    New Mexico  4,776 
Connecticut  7,122    New York  7,845 
Delaware  4,488    North Carolina   16,905 
District of Columbia   7,367    North Dakota  5,167 
Florida  11,687    Ohio   6,150 
Georgia   8,449    Oklahoma  3,750 
Guam  2,944    Oregon   9,336 
Hawaii  6,453    Pennsylvania  7,548 
Idaho  9,604    Puerto Rico  2,298 
Illinois  7,899    Rhode Island  8,270 
Indiana  7,775    South Carolina  5,267 
Iowa  8,302    South Dakota  3,714 
Kansas  3,121    Tennessee  19,066 
Kentucky  10,324    Texas   9,413 
Louisiana  4,523    U.S. Virgin Islands  224 
Maine  12,781    Utah  17,948 
Maryland  8,115    Vermont  6,127 
Massachusetts  6,683    Virginia   10,099 
Michigan   22,397    Washington   7,427 
Minnesota  6,797    West Virginia  6,508 
Mississippi  5,995    Wisconsin  5,520 
Missouri  5,798    Wyoming  6,885 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  12   
Number of group outreach and education events 
 
  Total for 2018      Total for 2018 
Alabama  725    Montana  485 
Alaska  147    Nebraska  271 
Arizona   320    Nevada  473 
Arkansas  494    New Hampshire  439 
California  2,890    New Jersey   256 
Colorado  437    New Mexico  299 
Connecticut  193    New York  356 
Delaware  125    North Carolina   888 
District of Columbia   280    North Dakota  844 
Florida  823    Ohio   295 
Georgia   654    Oklahoma  480 
Guam  127    Oregon   347 
Hawaii  104    Pennsylvania  234 
Idaho  481    Puerto Rico  12 
Illinois  694    Rhode Island  304 
Indiana  426    South Carolina  307 
Iowa  282    South Dakota  119 
Kansas  136    Tennessee  830 
Kentucky  472    Texas   1,010 
Louisiana  202    U.S. Virgin Islands  0 
Maine  576    Utah  1,419 
Maryland  395    Vermont  217 
Massachusetts  197    Virginia   498 
Michigan   871    Washington   551 
Minnesota  806    West Virginia  687 
Mississippi  149    Wisconsin  152 
Missouri  2,052    Wyoming  101 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  13   
Estimated number of people reached through group outreach and education events 
 
  Total for 2018      Total for 2018 
Alabama  55,779    Montana  16,976 
Alaska  2,351    Nebraska  11,634 
Arizona   13,529    Nevada  17,551 
Arkansas  16,254    New Hampshire  15,068 
California  165,544    New Jersey   12,894 
Colorado  18,669    New Mexico  7,015 
Connecticut  7,868    New York  42,002 
Delaware  4,115    North Carolina   212,413 
District of Columbia   7,887    North Dakota  20,525 
Florida  96,952    Ohio   19,797 
Georgia   58,643    Oklahoma  32,213 
Guam  1,995    Oregon   22,514 
Hawaii  10,787    Pennsylvania  5,775 
Idaho  16,182    Puerto Rico  28 
Illinois  31,500    Rhode Island  9,735 
Indiana  37,795    South Carolina  18,098 
Iowa  16,605    South Dakota  5,341 
Kansas  11,942    Tennessee  60,710 
Kentucky  20,094    Texas   45,066 
Louisiana  72,896    U.S. Virgin Islands  0 
Maine  13,157    Utah  48,838 
Maryland  22,841    Vermont  4,822 
Massachusetts  13,806    Virginia   29,289 
Michigan   73,135    Washington   13,470 
Minnesota  23,261    West Virginia  26,697 
Mississippi  39,686    Wisconsin  61,816 
Missouri  95,597    Wyoming  4,037 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  14   
Number of individual interactions with, or on behalf of, a Medicare beneficiary  
 
  Total for 2018      Total for 2018 
Alabama  14,067    Montana  936 
Alaska  319    Nebraska  15,662 
Arizona   745    Nevada  3,063 
Arkansas  243    New Hampshire  5,574 
California  29,307    New Jersey   364 
Colorado  7,190    New Mexico  4,572 
Connecticut  518    New York  1,214 
Delaware  46    North Carolina   15,332 
District of Columbia   300    North Dakota  171 
Florida  4,539    Ohio   383 
Georgia   1,757    Oklahoma  670 
Guam  1,400    Oregon   10,030 
Hawaii  147    Pennsylvania  1,012 
Idaho  3,684    Puerto Rico  3 
Illinois  4,432    Rhode Island  5,016 
Indiana  2,408    South Carolina  8,025 
Iowa  3,696    South Dakota  4,835 
Kansas  2,604    Tennessee  32,246 
Kentucky  2,592    Texas   820 
Louisiana  465    U.S. Virgin Islands  0 
Maine  7,012    Utah  17,501 
Maryland  15,315    Vermont  46 
Massachusetts  91    Virginia   5,636 
Michigan   9,125    Washington   22,608 
Minnesota  1,120    West Virginia  3,083 
Mississippi  319    Wisconsin  236 
Missouri  1,499    Wyoming  4,783 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  15   
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others 
 
  Total for 2018      Total for 2018 
Alabama  $0    Montana  $0 
Alaska  $9,500    Nebraska  $0 
Arizona   $0    Nevada  $2 
Arkansas  $0    New Hampshire  $0 
California  $4,914    New Jersey   $870 
Colorado  $251    New Mexico  $530 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $834    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $814    Rhode Island  $2,180 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $8,042 
Kentucky  $0    Texas   $0 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $552,399 
Maryland  $0    Vermont  $0 
Massachusetts  $11,358    Virginia   $0 
Michigan   $0    Washington   $153 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $10,216 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  16   
Expected Medicare recoveries attributable to the projects 
 
  Total for 2018      Total for 2018 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $94 
Arkansas  $0    New Hampshire  $0 
California  $2,536    New Jersey   $2,447 
Colorado  $3,221    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $368    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  $2,179    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $1,319 
Missouri  $0    Wyoming  $2,973 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  17   
Additional expected Medicare recoveries attributable to the projects* 
 
  Total for 2018      Total for 2018 
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  $623,477 
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  $390,823    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $10,850,229    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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  18   
Expected Medicaid recoveries attributable to the projects 
 
  Total for 2018      Total for 2018 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $0 
Colorado  $5,734    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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  19   
Additional expected Medicaid recoveries attributable to the projects* 
 
  Total for 2018      Total for 2018 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  20   
Savings to beneficiaries attributable to the projects 
 
  Total for 2018      Total for 2018 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $150    New Hampshire  $0 
California  $593    New Jersey   $0 
Colorado  $10,347    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  $47 
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  $7,712    Texas   $0 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $657 
Maryland  $0    Vermont  $0 
Massachusetts  $6,533    Virginia   $0 
Michigan   $0    Washington   $345 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $1,305 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  21   
Other savings attributable to the projects (e.g., savings to supplemental insurance)  
 
  Total for 2018      Total for 2018 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  22   
APPENDIX E 
 
Results for 2018, by Project 
 
The following tables provide the results for each performance measure for each of the 61 Senior Medicare Patrol projects in 
2018.  The totals in the tables have been rounded.  The tables also include the grant total for 2018 for each project.  In 
addition, the measure for total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to 
the beneficiaries and others. 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)                  23   
 
Alabama  State of Alabama Department of Senior Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  71 
Total number of SMP team member hours  10,810 
Number of group outreach and education events  725 
Estimated number of people reached through group outreach and education events  55,779 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  14,067 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       24   
Alaska  Alaska Department of Health & Social Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  30 
Total number of SMP team member hours  3,650 
Number of group outreach and education events  147 
Estimated number of people reached through group outreach and education events  2,351 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  319 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $9,500 
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: $235,844 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       25   
Arizona  Arizona Department of Economic Security 
 
Performance measures  Total for 2018 
Total number of active SMP team members  107 
Total number of SMP team member hours  21,791 
Number of group outreach and education events  320 
Estimated number of people reached through group outreach and education events  13,529 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  745 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       26   
Arkansas  Arkansas Department of Human Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  143 
Total number of SMP team member hours  6,235 
Number of group outreach and education events  494 
Estimated number of people reached through group outreach and education events  16,254 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  243 
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  $150 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $150 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       27   
California  California Health Advocates 
 
Performance measures  Total for 2018 
Total number of active SMP team members  618 
Total number of SMP team member hours  53,003 
Number of group outreach and education events  2,890 
Estimated number of people reached through group outreach and education events  165,544 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  29,307 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $4,914 
Expected Medicare recoveries attributable to the project  $2,536 
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  $593 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $3,130 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       28   
 
 
Colorado  State of Colorado Division of Insurance - DORA 
 
Performance measures  Total for 2018 
Total number of active SMP team members  74 
Total number of SMP team member hours  8,038 
Number of group outreach and education events  437 
Estimated number of people reached through group outreach and education events  18,669 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,190 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $251 
Expected Medicare recoveries attributable to the project  $3,221 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $5,734 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $10,347 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $19,301 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       29   
 
Connecticut  State of Connecticut Department of Rehabilitation Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  86 
Total number of SMP team member hours  7,122 
Number of group outreach and education events  193 
Estimated number of people reached through group outreach and education events  7,868 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  518 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       30   
 
Delaware   Delaware DHSS  Division of Services for Aging and Adults with 
Physical Disabilities (end date: May 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  4 
Total number of SMP team member hours  2,921 
Number of group outreach and education events  56 
Estimated number of people reached through group outreach and education events  2,071 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  20 
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:  No-cost extension 
 
 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       31   
 
Delaware   Delaware DHSS  Division of Social Services (start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  16 
Total number of SMP team member hours  1,567 
Number of group outreach and education events  69 
Estimated number of people reached through group outreach and education events  2,044 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  26 
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: $241,734 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       32   
District of Columbia  AARP Legal Counsel for the Elderly 
 
Performance measures  Total for 2018 
Total number of active SMP team members  59 
Total number of SMP team member hours  7,367 
Number of group outreach and education events  280 
Estimated number of people reached through group outreach and education events  7,887 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  300 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       33   
 
Florida  eQHealth Solutions, Inc. (end date: May 2019) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  35 
Total number of SMP team member hours  5,717 
Number of group outreach and education events  274 
Estimated number of people reached through group outreach and education events  81,267 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  449 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $834 
Expected Medicare recoveries attributable to the project  $368 
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  $368 
* 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:  No-cost extension 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       34   
 
Florida  Florida Department of Elder Affairs (start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  192 
Total number of SMP team member hours  5,970 
Number of group outreach and education events  549 
Estimated number of people reached through group outreach and education events  15,685 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,090 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       35   
 
Georgia  Department of Human Services (end date: December 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  113 
Total number of SMP team member hours  5,297 
Number of group outreach and education events  556 
Estimated number of people reached through group outreach and education events  30,346 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,436 
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:  No-cost extension 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       36   
 
Georgia  eQHealth Solutions, Inc. (start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  86 
Total number of SMP team member hours  3,152 
Number of group outreach and education events  98 
Estimated number of people reached through group outreach and education events  28,297 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  321 
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: $329,326 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       37   
 
Guam  Guam Department of Public Health and Social Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  17 
Total number of SMP team member hours  2,944 
Number of group outreach and education events  127 
Estimated number of people reached through group outreach and education events  1,995 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,400 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       38   
 
 
Hawaii  State of Hawaii Department of Health 
 
Performance measures  Total for 2018 
Total number of active SMP team members  67 
Total number of SMP team member hours  6,453 
Number of group outreach and education events  104 
Estimated number of people reached through group outreach and education events  10,787 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  147 
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: $245,764 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       39   
 
Idaho  Idaho Commission on Aging 
 
Performance measures  Total for 2018 
Total number of active SMP team members  107 
Total number of SMP team member hours  9,604 
Number of group outreach and education events  481 
Estimated number of people reached through group outreach and education events  16,182 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,684 
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: $249,508 
 
 
 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       40   
 
 
Illinois  AgeOptions 
 
Performance measures  Total for 2018 
Total number of active SMP team members  97 
Total number of SMP team member hours  7,899 
Number of group outreach and education events  694 
Estimated number of people reached through group outreach and education events  31,500 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,432 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $814 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $390,823 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       41   
 
Indiana   Indiana Association of Area Agencies on Aging Education Institute 
 
Performance measures  Total for 2018 
Total number of active SMP team members  66 
Total number of SMP team member hours  7,775 
Number of group outreach and education events  426 
Estimated number of people reached through group outreach and education events  37,795 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,408 
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: $303,697 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       42   
 
 
Iowa  Northeast Iowa Area Agency on Aging (end date: August 2018) 
 
 
Performance measures  Total for 2018 
Total number of active SMP team members  21 
Total number of SMP team member hours  3,358 
Number of group outreach and education events  66 
Estimated number of people reached through group outreach and education events  2,335 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  72 
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:  No-cost extension 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       43   
 
Iowa   Iowa Insurance Division (start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  378 
Total number of SMP team member hours  4,945 
Number of group outreach and education events  216 
Estimated number of people reached through group outreach and education events  14,270 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,624 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       44   
 
 
Kansas  Kansas Department on Aging and Disability Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  70 
Total number of SMP team member hours  3,121 
Number of group outreach and education events  136 
Estimated number of people reached through group outreach and education events  11,942 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,604 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       45   
 
Kentucky  Louisville Metro Department of Public Health & Wellness 
 
Performance measures  Total for 2018 
Total number of active SMP team members  128 
Total number of SMP team member hours  10,324 
Number of group outreach and education events  472 
Estimated number of people reached through group outreach and education events  20,094 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,592 
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  $7,712 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $7,712 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       46   
 
 
Louisiana  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  47 
Total number of SMP team member hours  4,523 
Number of group outreach and education events  202 
Estimated number of people reached through group outreach and education events  72,896 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  465 
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*  $10,850,229 
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: $280,508 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       47   
 
 
Maine  Maine Department of Health and Human Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  119 
Total number of SMP team member hours  12,781 
Number of group outreach and education events  576 
Estimated number of people reached through group outreach and education events  13,157 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,012 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       48   
 
Maryland  Maryland Department of Aging 
 
Performance measures  Total for 2018 
Total number of active SMP team members  148 
Total number of SMP team member hours  8,115 
Number of group outreach and education events  395 
Estimated number of people reached through group outreach and education events  22,841 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  15,315 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       49   
 
 
Massachusetts  Elder Services of the Merrimack Valley, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  42 
Total number of SMP team member hours  6,683 
Number of group outreach and education events  197 
Estimated number of people reached through group outreach and education events  13,806 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  91 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $11,358 
Expected Medicare recoveries attributable to the project  $2,179 
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  $6,533 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $8,713 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       50   
 
 
Michigan  MMAP, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  848 
Total number of SMP team member hours  22,397 
Number of group outreach and education events  871 
Estimated number of people reached through group outreach and education events  73,135 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  9,125 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       51   
 
Minnesota  Minnesota Board on Aging 
 
Performance measures  Total for 2018 
Total number of active SMP team members  111 
Total number of SMP team member hours  6,797 
Number of group outreach and education events  806 
Estimated number of people reached through group outreach and education events  23,261 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,120 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       52   
 
Mississippi  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  40 
Total number of SMP team member hours  5,995 
Number of group outreach and education events  149 
Estimated number of people reached through group outreach and education events  39,686 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  319 
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: $268,448 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       53   
 
 
Missouri  District III Area Agency on Aging 
 
Performance measures  Total for 2018 
Total number of active SMP team members  99 
Total number of SMP team member hours  5,798 
Number of group outreach and education events  2,052 
Estimated number of people reached through group outreach and education events  95,597 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,499 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       54   
 
Montana  Missoula Aging Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  70 
Total number of SMP team member hours  3,294 
Number of group outreach and education events  485 
Estimated number of people reached through group outreach and education events  16,976 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  936 
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: $244,059 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       55   
 
 
Nebraska  Nebraska Department of Insurance 
 
Performance measures  Total for 2018 
Total number of active SMP team members  214 
Total number of SMP team member hours  16,790 
Number of group outreach and education events  271 
Estimated number of people reached through group outreach and education events  11,634 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  15,662 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       56   
 
 
Nevada  Nevada Aging and Disability Service Division 
 
Performance measures  Total for 2018 
Total number of active SMP team members  77 
Total number of SMP team member hours  10,819 
Number of group outreach and education events  473 
Estimated number of people reached through group outreach and education events  17,551 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,063 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2 
Expected Medicare recoveries attributable to the project  $94 
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  $94 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       57   
 
New Hampshire  Department of Health and Human Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  50 
Total number of SMP team member hours  2,000 
Number of group outreach and education events  439 
Estimated number of people reached through group outreach and education events  15,068 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,574 
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: $247,505 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       58   
 
New Jersey  Jewish Family & Vocational Service of Middlesex County 
 
Performance measures  Total for 2018 
Total number of active SMP team members  45 
Total number of SMP team member hours  7,759 
Number of group outreach and education events  256 
Estimated number of people reached through group outreach and education events  12,894 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  364 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $870 
Expected Medicare recoveries attributable to the project  $2,447 
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  $2,447 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       59   
 
 
 
New Mexico  New Mexico Aging and Long Term Services Department 
 
Performance measures  Total for 2018 
Total number of active SMP team members  30 
Total number of SMP team member hours  4,776 
Number of group outreach and education events  299 
Estimated number of people reached through group outreach and education events  7,015 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,572 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $530 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $623,477 
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: $254,579 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       60   
 
 
New York  Services and Advocacy GLBT Elders, Inc. (end date: May 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  56 
Total number of SMP team member hours  3,447 
Number of group outreach and education events  151 
Estimated number of people reached through group outreach and education events  9,072 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  189 
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:  No-cost extension 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       61   
 
 
New York  New York Statewide Senior Action Council, Inc.  
(start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  11 
Total number of SMP team member hours  4,397 
Number of group outreach and education events  205 
Estimated number of people reached through group outreach and education events  32,930 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,025 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       62   
 
 
North Carolina  North Carolina Department of Insurance 
 
Performance measures  Total for 2018 
Total number of active SMP team members  304 
Total number of SMP team member hours  16,905 
Number of group outreach and education events  888 
Estimated number of people reached through group outreach and education events  212,413 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  15,332 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       63   
 
North Dakota  Minot State University 
 
Performance measures  Total for 2018 
Total number of active SMP team members  113 
Total number of SMP team member hours  5,167 
Number of group outreach and education events  844 
Estimated number of people reached through group outreach and education events  20,525 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  171 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       64   
 
 
Ohio  Pro Seniors, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  45 
Total number of SMP team member hours  6,150 
Number of group outreach and education events  295 
Estimated number of people reached through group outreach and education events  19,797 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  383 
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: $364,851 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       65   
 
Oklahoma  Oklahoma Insurance Department 
 
Performance measures  Total for 2018 
Total number of active SMP team members  43 
Total number of SMP team member hours  3,750 
Number of group outreach and education events  480 
Estimated number of people reached through group outreach and education events  32,213 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  670 
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  $47 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $47 
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       66   
 
Oregon  Department of Human Services, Office of Financial Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  256 
Total number of SMP team member hours  9,336 
Number of group outreach and education events  347 
Estimated number of people reached through group outreach and education events  22,514 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  10,030 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       67   
 
 
Pennsylvania  Center for Advocacy for the Rights and Interests of the Elderly 
 
Performance measures  Total for 2018 
Total number of active SMP team members  39 
Total number of SMP team member hours  7,548 
Number of group outreach and education events  234 
Estimated number of people reached through group outreach and education events  5,775 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,012 
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: $387,150 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       68   
 
   
Puerto Rico  Ombudsman Office for the Elderly (end date: May 2019) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  0 
Total number of SMP team member hours  0 
Number of group outreach and education events  0 
Estimated number of people reached through group outreach and education events  0 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  0 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
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:  No-cost extension 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       69   
 
 
 
Puerto Rico  Hispanic-American Institute, Inc. (start date: June 2018) 
 
 
Performance measures  Total for 2018 
Total number of active SMP team members  3 
Total number of SMP team member hours  2,298 
Number of group outreach and education events  12 
Estimated number of people reached through group outreach and education events  28 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3 
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: $276,284 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       70   
 
 
Rhode Island  Rhode Island Department of Elderly Affairs 
 
Performance measures  Total for 2018 
Total number of active SMP team members  102 
Total number of SMP team member hours  8,270 
Number of group outreach and education events  304 
Estimated number of people reached through group outreach and education events  9,735 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,016 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,180 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       71   
 
 
South Carolina  South Carolina Office of Lieutenant Governor 
 
Performance measures  Total for 2018 
Total number of active SMP team members  30 
Total number of SMP team member hours  5,267 
Number of group outreach and education events  307 
Estimated number of people reached through group outreach and education events  18,098 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,025 
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   
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       72   
 
 
South Dakota  South Dakota Department of Human Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  67 
Total number of SMP team member hours  3,713.57 
Number of group outreach and education events  119 
Estimated number of people reached through group outreach and education events  5,341 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,835 
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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       73   
 
 
Tennessee  Upper Cumberland Development District 
 
Performance measures  Total for 2018 
Total number of active SMP team members  426 
Total number of SMP team member hours  19,066 
Number of group outreach and education events  830 
Estimated number of people reached through group outreach and education events  60,710 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  32,246 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $8,042 
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   
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       74   
 
 
Texas  Better Business Bureau Educational Foundation 
 
Performance measures  Total for 2018 
Total number of active SMP team members  189 
Total number of SMP team member hours  9,413 
Number of group outreach and education events  1,010 
Estimated number of people reached through group outreach and education events  45,066 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  820 
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   
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       75   
   
U.S. Virgin Islands  Legal Services of the Virgin Islands, Inc.  
(start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  1 
Total number of SMP team member hours  224 
Number of group outreach and education events  0 
Estimated number of people reached through group outreach and education events  0 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  0 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
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   
* 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:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       76   
 
 
Utah  Utah Department of Human Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  211 
Total number of SMP team member hours  17,948 
Number of group outreach and education events  1,419 
Estimated number of people reached through group outreach and education events  48,838 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  17,501 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $552,399 
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  $657 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $657 
* 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 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       77   
 
 
Vermont  Community of Vermont Elders 
 
Performance measures  Total for 2018 
Total number of active SMP team members  29 
Total number of SMP team member hours  6,127 
Number of group outreach and education events  217 
Estimated number of people reached through group outreach and education events  4,822 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  46 
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 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       78   
 
 
Virginia  Virginia Association of Area Agencies on Aging, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  101 
Total number of SMP team member hours  10,099 
Number of group outreach and education events  498 
Estimated number of people reached through group outreach and education events  29,289 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,636 
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 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       79   
 
 
Washington  Washington State Office of the Insurance Commissioner 
 
Performance measures  Total for 2018 
Total number of active SMP team members  210 
Total number of SMP team member hours  7,427 
Number of group outreach and education events  551 
Estimated number of people reached through group outreach and education events  13,470 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  22,608 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $153 
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  $345 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $345 
* 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 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       80   
 
 
 
West Virginia  West Virginia Bureau of Senior Services 
 
Performance measures  Total for 2018 
Total number of active SMP team members  66 
Total number of SMP team member hours  6,508 
Number of group outreach and education events  687 
Estimated number of people reached through group outreach and education events  26,697 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,083 
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 
 
 
 
 
 
 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       81   
 
 
Wisconsin   eQHealth Solutions, Inc. (end date: May 2019)  
 
Performance measures  Total for 2018 
Total number of active SMP team members  42 
Total number of SMP team member hours  3,989 
Number of group outreach and education events  122 
Estimated number of people reached through group outreach and education events  59,171 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  188 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $1,319 
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  $1,319 
* 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:  No-cost extension 
 
 
 
 
 
   
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       82   
 
 
Wisconsin   Greater Wisconsin Agency on Aging Resources Inc.                               
(start date: June 2018) 
 
Performance measures  Total for 2018 
Total number of active SMP team members  5 
Total number of SMP team member hours  1,531 
Number of group outreach and education events  30 
Estimated number of people reached through group outreach and education events  2,645 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  48 
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 
 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       83   
 
   
Wyoming  Wyoming Senior Citizens, Inc. 
 
Performance measures  Total for 2018 
Total number of active SMP team members  61 
Total number of SMP team member hours  6,885 
Number of group outreach and education events  101 
Estimated number of people reached through group outreach and education events  4,037 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,783 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $10,216 
Expected Medicare recoveries attributable to the project  $2,973 
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  $1,305 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $4,278 
* 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 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       84   
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 
detecting 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  members, caregivers, or others for the purpose of discussing or gathering 
behalf of, a Medicare  information about potential health care fraud, errors, or abuse. 
beneficiary 
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 applies to the amount of money that was ordered or agreed 
Expected Medicare 
upon to be returned to Medicare, and may not reflect actual collections.  
recoveries attributable to the 
Recoveries may also involve cases that include participation by a Medicare 
projects 
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 applies to the amount of money that was ordered or agreed 
Additional expected  upon to be returned to Medicare, and may not reflect actual 
Medicare recoveries  collections.  Recoveries may also involve cases that include participation by 
attributable to the 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. 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       85   
 
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 applies to the amount of money that was ordered or agreed 
Expected Medicaid 
upon to be returned to Medicaid, and may not reflect actual collections.  
recoveries attributable to the 
Recoveries may also involve cases that include participation by a Medicaid 
projects 
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 are from 
criminal actions, settlements, civil judgments, or overpayments that resulted 
from the referral.  This applies to the amount of money that was ordered or 
Additional expected  agreed upon to be returned to Medicaid, and may not reflect actual 
Medicaid recoveries  collections.  Recoveries may also involve cases that include participation by 
attributable to the 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) 
 
Memorandum Report:  2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)       86