TO:    Kelly Cronin 
Deputy Administrator for the Center for Innovation and Partnership  
      Administration for Community Living    
 
 
FROM:   Suzanne Murrin 
Deputy Inspector General   
   for Evaluation and Inspections 
 
   
SUBJECT:   Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol    
      Projects, OEI-02-21-00180 
 
 
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) 
projects for 2020.  The Office of Inspector General (OIG) has collected these data since 
1997.  In July 2010, the Administration on Aging, which is now part of the Administration 
for Community Living (ACL), requested that OIG continue to collect and report performance 
data for the SMP projects to support ACLs efforts to evaluate and improve its performance.  
OIG reports these performance data on an annual basis.   
 
SUMMARY 
 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
older adults and community members to prevent, recognize, and report health care fraud, 
errors, and abuse.  These SMP team members then participate in outreach events to help 
educate Medicare and Medicaid beneficiaries on the same prevention, recognition, and 
reporting techniques.   
The coronavirus disease 2019 (COVID-19) pandemic presented many challenges for the 
SMP projects that limited their in-person activities.  For example, in lieu of conducting in-
person outreach events, the projects conducted live webinars or teleconferences and 
recorded presentations or public service announcements.  In 2020, the 54 projects:  
  had 5,720 active team members; 
  conducted 9,870 group outreach and education events; and  Page 2Kelly Cronin 
 
  had 249,134 individual interactions with, or on behalf of, a Medicare beneficiary. 
The projects also had the following results: 
  $16.8 million in expected Medicare recoveries that were attributable to the projects;  
  $53,768 in cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others; 
and 
  $33,554 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 to 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 2020, funding for the program totaled $18 million in Health Care 
Fraud and Abuse Control Program funding.  Of that $18 million, $2.4 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 2019, funding for the projects totaled $18.1 million.  
 
Performance Measures   
Since the beginning of the program, ACL has modified the performance measures in a number 
of ways.  In 2007, the projects were required to begin measuring cost avoidancethe health 
care expenditures for which Medicare, Medicaid, a beneficiary, or another entity 
(e.g., a secondary health insurer or a pharmacy) was relieved of responsibility for payment as 
a result of the projects.  In 2012, ACL expanded the performance measures for both Medicare 
and Medicaid recoveries to  
account for expected recoveries as well as actual recoveries.  This accounting method is 
consistent with OIGs accounting of its own 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 
______________________________________________________________________________ 
1 As required by the Inspector General Act of 1978 (P.L. No. 95-452, enacted Oct. 1, 1978), as amended, OIG reports 
semiannually to the Secretary of Health and Human Services and to Congress on the activities of the office.  In the 
semiannual report, OIG reports expected recoveries.  See the most recent semiannual report at 
https://oig.hhs.gov/reports-and-publications/semiannual/index.asp. 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)    Page 3Kelly Cronin 
 
measures from 21 to 10 by keeping the 5 measures pertaining to recoveries, savings, and cost 
avoidance and combining or redefining the 16 measures pertaining to volunteer and outreach 
activities, condensing them into 5 new measures.  In addition, ACL no longer requires the 
projects to report on the number of media airings and the ways they process complex issues.  
See Appendix F for a list of the current measures and their definitions.   
 
In 2017, OIG added two new measures that capture additional expected recoveries from cases in 
which the SMP projects were minimally involved.  These new measuresone for Medicare and 
the 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 from SMP projects that led to the opening 
of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
This performance year, OIG also looked at the projects educational outreach activities related to 
two fraud alerts developed by the SMP program: one related to COVID-19 and one related to 
fraud schemes involving genetic testing. 
 
Tracking Systems 
ACL maintains a reporting systemthe SMP Information and Reporting Systemfor SMP 
projects to track and report activities and complaints.  Although projects commonly resolve 
complaints on their own, they are expected to refer cases to an investigative agency when 
necessary.  These referrals are also recorded in the system. 
 
METHODOLOGY   
 
We based our review on data reported for 2020 in the SMP Information and Reporting System 
by 54 SMP projects.  In this report, we provide the first 5 years of data for five measures.  For 
these five measures, we reviewed the data for any discrepancies (e.g., if a project reported 
holding no events but reported a number of people who attended events).  For the measures on 
recoveries, savings, and cost avoidance, we reviewed the projects documentation in the same 
manner as in the past.  Specifically, we reviewed documentation for expected recoveries and 
additional expected recoveries of funds for the Medicare and Medicaid programs; 
documentation for project-attributable savings to beneficiaries and others; and documentation 
for cost avoidance.  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. 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)    Page 4Kelly Cronin 
 
 
RESULTS 
 
Results for 2020  
 
The COVID-19 pandemic presented many challenges for the SMP projects that limited their 
activities.  For example, in lieu of conducting in-person outreach events, the projects 
conducted live webinars or teleconferences and recorded presentations or public service 
announcements.  Some projects reached out to beneficiaries via group emails or telephone 
calls.  As a result, the performance data for 2020 do not reflect a normal year of activities 
for the projects.   
 
In 2020, the 54 SMP projects had a total of 5,720 active team members who conducted a total of 
9,870 group outreach and education events, reaching an estimated 425,103 people.  In addition, 
the projects had 249,134 individual interactions with, or on behalf of, a Medicare beneficiary. 
 
For 2020, the SMP projects reported $16.8 million in expected Medicare recoveries.  Over half of 
these recoveries came from one project that uncovered a fraud scheme in which a provider paid 
beneficiaries to receive home health services that were never rendered.  The provider then 
submitted fraudulent claims to Medicare for millions of dollars while also receiving illegal 
kickback payments from the home health agencies.  The provider was sentenced and ordered to 
pay a total of $9.5 million in restitution and forfeitures.  Another project reported nearly 
$5 million in expected Medicare recoveries after uncovering multiple fraud schemes Statewide 
that involved enrolling beneficiaries in medically unnecessary hospice services.  These services 
were often provided against the beneficiaries wishes, and at times, interfered with their proper 
medical care and medications.  In addition, cost avoidance in 2020 totaled $53,768, while 
savings to beneficiaries and others totaled $33,554 for all SMP projects. 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)    Page 5Kelly Cronin 
 
In addition, the SMP program released a 
The SMP COVID-19 Fraud Alert 
consumer fraud alert on COVID-19 in 2020.2  The 
The SMP program produced an alert that provides 
alert warns beneficiaries about potential fraud 
information about potential scams related to 
schemes involving COVID-19 vaccines and 
COVID-19 and advises beneficiaries on actions they 
treatments.  It advises beneficiaries to be 
can take to avoid becoming a victim of such scams.  
suspicious of strangers offering free COVID-19  Examples of advice provided in the alert include: 
testing, supplies, treatments, or vaccines.  The 
- Be suspicious of anyone going door-to-door to 
alert also advises beneficiaries to be cautious  offer free COVID-19 testing, supplies, treatments, or 
about sharing their personal information,  vaccines.  
including their Medicare identification number,  - Beware of providers offering other products, 
because this information can be used in fraud  treatments, or medicines to prevent the virus. Check 
with your health care provider before paying for or 
schemes.  The SMP projects conducted 350 
receiving any COVID-19-related treatment. 
group education events covering COVID-19 
fraud issues in 2020, reaching a total of 11,775  - Photos of COVID-19 vaccination cards should not 
be shared on social media. 
people.  In addition, they conducted 578 
instances of media outreach on this topic, 
reaching 14.8 million people. 
 
The SMP program also continued from 2019 its educational outreach on fraud schemes 
involving genetic testing.3  Its fraud alert on genetic testing advises beneficiaries to be 
suspicious of strangers who offer free genetic tests.  The alert also cautions beneficiaries about 
sharing personal information that can be used fraudulently.  The SMP projects conducted 641 
group education events covering genetic testing fraud issues in 2020; these events reached 
24,443 people.  In addition, they conducted 102 instances of media outreach on this topic, 
reaching 850,374 people. 
 
Because of the COVID-19 pandemic, the SMP projects were not able to conduct in-person 
outreach events and face-to-face individual interactions as they have done in the past.  As a 
result, the projects reported for 2020 a decrease compared to 2019 in the number of group 
outreach and education events; the number of people reached through these events; and the 
number of individual interactions.  However, the projects reported significantly higher amounts 
of Medicare recoveries, which increased from $2.4 million in 2019 to $16.8 million in 2020.  The 
______________________________________________________________________________ 
2 See SMP, SMP Consumer Fraud Alert: COVID-19.  Accessed at https://www.smpresource.org/Content/Medicare-
Fraud/SMP-Consumer-Fraud-Alerts/SMP-Consumer-Fraud-Alert-COVID-19.aspx on January 11, 2021.  The SMP fraud 
alert references a corresponding OIG fraud alert that can be accessed at https://oig.hhs.gov/coronavirus/fraud-alert-
covid19.asp. 
3  See SMP, SMP Consumer Fraud Alert: Genetic Testing.  Accessed at https://www.smpresource.org/Content/Medicare-
Fraud/SMP-Consumer-Fraud-Alerts/SMP-Consumer-Fraud-Alert-Genetic-Testing.aspx on January 11, 2021.  The SMP 
fraud alert references a corresponding OIG fraud alert.  See OIG, Fraud Alert: Genetic Testing Scam.  Accessed at 
https://oig.hhs.gov/fraud/consumer-alerts/alerts/geneticscam.asp on January 11, 2021. 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)    Page 6Kelly Cronin 
 
majority of these recoveries were the result of investigations that were resolved in 2020 but 
began several years prior.  
 
Results Since 1997  
Since the programs inception 24 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 
2020 were $138.9 million.4  Most of the recoveries resulted from one projects involvement in 
adjustments to Medicaid claims for individuals entitled to both Medicare and Medicaid.5  Total 
savings to beneficiaries and others were approximately $7.2 million.  Total cost avoidance on 
behalf of Medicare, Medicaid, beneficiaries, and others was $10.2 million.  
 
Other SMP Activities 
As part of a partnership with OIG, the SMP program identifies potential fraud schemes.  The 
SMP program provides OIG with reports, referred to as Special Notifications, intended to 
provide timely information on emerging fraud schemes that have been identified by the SMP 
projects.  In 2020, the SMP program provided 42 special notifications to OIG.  These notifications 
focused on fraud schemes involving COVID-19 testing and vaccines; opioids; hospice services; 
drug prescribing; durable medical equipment; genetic testing; and other topics.   
 
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 2020, the COVID-19 pandemic presented many challenges for the SMP projects 
that limited their in-person activities.  As a result, the performance data for 2020 do not reflect a 
normal year of activities for the projects. 
 
In 2020, the SMP projects had a total of 5,720 active team members who conducted a total of 
9,870 group outreach and education events, reaching an estimated 425,103 people.  Results 
attributable to the SMP projects efforts included $16.8 million in expected Medicare recoveries, 
$53,768 in cost avoidance, and $33,554 in savings to beneficiaries and others.  In comparison to 
2019, the projects reported a significantly higher amount for Medicare recoveries.  The majority 
of these recoveries were the result of investigations that were resolved in 2020 but began 
several years prior.  
______________________________________________________________________________ 
4 Prior to 2007, OIG reviewed documentation on savings to Medicare only and included self-reported data on savings to 
Medicaid, beneficiaries, and other entities.  In addition, prior to 2012, the projects reported actual recoveries only.  
5 The project reported these savings between 2001 and 2003. 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)    Page 7Kelly Cronin 
 
 
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.  Your staff may contact Kaliane 
Davidson at (202) 836-1069 or Kaliane.Davidson@oig.hhs.gov.  Please refer to report number  
OEI-02-21-00180 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)     
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
List of Appendices 
 
Appendix A:  Summary of Overall Performance of Projects in 2020 .......................................... 9 
 
Appendix B:  Summary of Performance on Recoveries, Savings,                                                            
and Cost Avoidance, Since 1997 ................................................................................... 10 
 
Appendix C:  Summary of Performance on SMP Activities, 20162020 ................................. 11 
 
Appendix D:  Results for 2020, by Performance Measure ............................................................ 12 
 
Appendix E:  Results for 2020, by Project ............................................................................................ 25 
 
Appendix F:  Definitions of Performance Measures ........................................................................ 80 
 
   
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  8   
APPENDIX A 
Summary of Overall Performance of Projects in 2020* 
Performance measures  Total for 2020 
Total number of active SMP team members  5,720 
Total number of SMP team member hours  450,045 
Number of group outreach and education events  9,870 
Estimated number of people reached through group outreach and education events  425,103 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  249,134 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $53,768 
Expected Medicare recoveries attributable to the projects  $16,805,050 
Additional expected Medicare recoveries attributable to the projects**  $0 
Expected Medicaid recoveries attributable to the projects  $0 
Additional expected Medicaid recoveries attributable to the projects**   $0 
Savings to beneficiaries attributable to the projects  $32,272 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $1,282 
Total savings attributable to the projects***  $16,838,604 
* 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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
*** Total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  9   
APPENDIX B 
Summary of Performance on Recoveries, Savings, and Cost Avoidance, Since 
1997 
Total Since 
Performance measures 
1997 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others*  $10,153,774 
Expected Medicare recoveries attributable to the projects**  $44,046,996 
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  $3,708,460 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $3,474,704 
Total savings attributable to the projects****  $146,048,191 
* 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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations.  
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:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  10   
APPENDIX C     
Summary of Performance on SMP Activities, 20162020 
Total:  2016
Performance measures* 
2020 
Total number of active SMP team members  31,786 
Total number of SMP team member hours  2,331,828 
Number of group outreach and education events    117,597 
Estimated number of people reached through group outreach and education events  7,117,972 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,270,132 
* 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:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  11   
APPENDIX D   
 
Results for 2020, by Performance Measure 
 
The following tables provide the results by performance measure and by State for the SMP projects.   
   
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual 
figures listed in Appendix D. 
   
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  12   
Total Number of Active SMP Team Members 
 
       Total for      Total for 2020 
 
2020 
Alabama  119    Montana  56 
Alaska  36    Nebraska  140 
Arizona   80    Nevada  99 
Arkansas  102    New Hampshire  42 
California  505    New Jersey   24 
Colorado  74    New Mexico  30 
Connecticut  63    New York  51 
Delaware  18    North Carolina   208 
District of Columbia   51    North Dakota  124 
Florida  367    Ohio   62 
Georgia   18    Oklahoma  27 
Guam  3    Oregon   152 
Hawaii  51    Pennsylvania  30 
Idaho  77    Puerto Rico  6 
Illinois  68    Rhode Island  73 
Indiana  76    South Carolina  25 
Iowa  254    South Dakota  27 
Kansas  81    Tennessee  390 
Kentucky  92    Texas   170 
Louisiana  59    U.S. Virgin Islands  6 
Maine  97    Utah  116 
Maryland  87    Vermont  23 
Massachusetts  80    Virginia   95 
Michigan   751    Washington   97 
Minnesota  132    West Virginia  72 
Mississippi  10    Wisconsin  15 
Missouri  143    Wyoming  66 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  13   
Total Number of SMP Team Member Hours 
 
  Total for 2020      Total for 2020 
Alabama  7,250    Montana  4,813 
Alaska  5,690    Nebraska  4,224 
Arizona   18,549    Nevada  20,743 
Arkansas  4,795    New Hampshire  2,471 
California  28,358    New Jersey   5,017 
Colorado  9,509    New Mexico  3,638 
Connecticut  5,805    New York  11,633 
Delaware  7,165    North Carolina   9,643 
District of Columbia   5,834    North Dakota  4,162 
Florida  44,698    Ohio   6,248 
Georgia   6,456    Oklahoma  4,267 
Guam  180    Oregon   5,941 
Hawaii  6,726    Pennsylvania  6,445 
Idaho  9,966    Puerto Rico  4,143 
Illinois  7,505    Rhode Island  8,279 
Indiana  6,828    South Carolina  13,497 
Iowa  13,509    South Dakota  1,752 
Kansas  3,866    Tennessee  22,206 
Kentucky  10,162    Texas   9,048 
Louisiana  5,381    U.S. Virgin Islands  2,137 
Maine  8,405    Utah  13,116 
Maryland  5,687    Vermont  3,551 
Massachusetts  6,401    Virginia   8,146 
Michigan   16,511    Washington   3,458 
Minnesota  1,666    West Virginia  4,036 
Mississippi  5,029    Wisconsin  4,265 
Missouri  4,372    Wyoming  6,863 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  14   
Number of Group Outreach and Education Events 
 
  Total for 2020      Total for 2020 
Alabama  373    Montana  195 
Alaska  50    Nebraska  101 
Arizona   124    Nevada  347 
Arkansas  211    New Hampshire  63 
California  559    New Jersey   62 
Colorado  157    New Mexico  120 
Connecticut  97    New York  272 
Delaware  58    North Carolina   236 
District of Columbia   81    North Dakota  182 
Florida  1,238    Ohio   216 
Georgia   33    Oklahoma  130 
Guam  17    Oregon   192 
Hawaii  45    Pennsylvania  57 
Idaho  138    Puerto Rico  28 
Illinois  230    Rhode Island  74 
Indiana  157    South Carolina  142 
Iowa  69    South Dakota  8 
Kansas  190    Tennessee  285 
Kentucky  156    Texas   394 
Louisiana  74    U.S. Virgin Islands  23 
Maine  253    Utah  565 
Maryland  150    Vermont  51 
Massachusetts  167    Virginia   181 
Michigan   188    Washington   220 
Minnesota  259    West Virginia  202 
Mississippi  49    Wisconsin  19 
Missouri  361    Wyoming  21 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  15   
Estimated Number of People Reached Through Group Outreach and Education 
Events 
 
  Total for 2020      Total for 2020 
Alabama  19,531    Montana  6,621 
Alaska  7,028    Nebraska  6,153 
Arizona   6,355    Nevada  7,614 
Arkansas  5,299    New Hampshire  1,469 
California  23,152    New Jersey   2,648 
Colorado  4,047    New Mexico  3,385 
Connecticut  2,444    New York  17,260 
Delaware  1,594    North Carolina   36,255 
District of Columbia   1,668    North Dakota  4,280 
Florida  37,614    Ohio   9,192 
Georgia   1,184    Oklahoma  3,672 
Guam  367    Oregon   3,244 
Hawaii  3,536    Pennsylvania  996 
Idaho  4,259    Puerto Rico  1,790 
Illinois  4,905    Rhode Island  2,073 
Indiana  14,939    South Carolina  14,327 
Iowa  2,964    South Dakota  136 
Kansas  8,351    Tennessee  20,875 
Kentucky  5,461    Texas   13,808 
Louisiana  8,434    U.S. Virgin Islands  1,077 
Maine  2,954    Utah  32,918 
Maryland  6,811    Vermont  723 
Massachusetts  8,596    Virginia   8,280 
Michigan   7,536    Washington   6,195 
Minnesota  4,588    West Virginia  6,642 
Mississippi  3,392    Wisconsin  1,346 
Missouri  14,493    Wyoming  622 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  16   
Number of Individual Interactions With, or on Behalf of, a Medicare Beneficiary  
 
  Total for 2020      Total for 2020 
Alabama  7,969    Montana  2,619 
Alaska  711    Nebraska  6,834 
Arizona   5,154    Nevada  4,916 
Arkansas  199    New Hampshire  4,449 
California  25,535    New Jersey   167 
Colorado  8,562    New Mexico  1,067 
Connecticut  131    New York  2,581 
Delaware  21    North Carolina   7,223 
District of Columbia   123    North Dakota  107 
Florida  29,850    Ohio   263 
Georgia   152    Oklahoma  569 
Guam  254    Oregon   4,528 
Hawaii  322    Pennsylvania  229 
Idaho  4,998    Puerto Rico  5 
Illinois  3,623    Rhode Island  4,028 
Indiana  2,412    South Carolina  7,179 
Iowa  10,997    South Dakota  2,342 
Kansas  5,646    Tennessee  46,866 
Kentucky  844    Texas   2,103 
Louisiana  370    U.S. Virgin Islands  5 
Maine  4,021    Utah  10,894 
Maryland  7,875    Vermont  13 
Massachusetts  120    Virginia   4,625 
Michigan   3,203    Washington   4,131 
Minnesota  583    West Virginia  2,912 
Mississippi  99    Wisconsin  150 
Missouri  288    Wyoming  4,267 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  17   
Cost Avoidance on Behalf of Medicare, Medicaid, Beneficiaries, or Others 
 
  Total for 2020      Total for 2020 
Alabama  $0    Montana  $385 
Alaska  $6,244    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $620    New Hampshire  $0 
California  $1,243    New Jersey   $845 
Colorado  $0    New Mexico  $505 
Connecticut  $72    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $547 
Florida  $0    Ohio   $6,707 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $1,100    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  $1,456 
Maryland  $0    Vermont  $0 
Massachusetts  $5,196    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $28,849 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  18   
Expected Medicare Recoveries Attributable to the Projects 
 
  Total for 2020      Total for 2020 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $919 
Arkansas  $0    New Hampshire  $0 
California  $6,909,480    New Jersey   $357,584 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $2,145 
Florida  $0    Ohio   $806 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $5,372    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $2,275    Texas   $9,500,000 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $10,418    Virginia   $0 
Michigan   $0    Washington   $0 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $16,051 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  19   
Additional Expected Medicare Recoveries Attributable to the Projects* 
 
  Total for 2020      Total for 2020 
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 
from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  20   
Expected Medicaid Recoveries Attributable to the Projects 
 
  Total for 2020      Total for 2020 
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 
from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  21   
Additional Expected Medicaid Recoveries Attributable to the Projects* 
 
  Total for 2020      Total for 2020 
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:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  22   
Savings to Beneficiaries Attributable to the Projects 
 
  Total for 2020      Total for 2020 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $3,364    New Jersey   $14,050 
Colorado  $0    New Mexico  $227 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $3,200 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $294    Pennsylvania  $2,550 
Idaho  $350    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $974    Texas   $0 
Louisiana  $0    U.S. Virgin Islands  $0 
Maine  $0    Utah  $0 
Maryland  $0    Vermont  $0 
Massachusetts  $600    Virginia   $0 
Michigan   $0    Washington   $5,558 
Minnesota  $0    West Virginia  $0 
Mississippi  $0    Wisconsin  $0 
Missouri  $0    Wyoming  $1,105 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  23   
Other Savings Attributable to the Projects (E.g., Savings to Supplemental Insurance)  
 
  Total for 2020      Total for 2020 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $789    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  $493    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:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  24   
APPENDIX E 
 
Results for 2020, by Project 
 
The following tables provide the results for each performance measure for each of the 54 SMP projects in 2020.  The 
tables also include the grant total for 2020 for each project.  In addition, the measure for total savings includes expected 
Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual 
figures listed in Appendix E. 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                  25   
Alabama  State of Alabama Department of Senior Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  119 
Total number of SMP team member hours  7,250 
Number of group outreach and education events  373 
Estimated number of people reached through group outreach and education events  19,531 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,969 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $292,181 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    26   
Alaska  Alaska Department of Health & Social Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  36 
Total number of SMP team member hours  5,690 
Number of group outreach and education events  50 
Estimated number of people reached through group outreach and education events  7,028 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  711 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $6,244 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $235,844 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    27   
Arizona  Arizona Department of Economic Security 
 
Performance measures  Total for 2020 
Total number of active SMP team members  80 
Total number of SMP team member hours  18,549 
Number of group outreach and education events  124 
Estimated number of people reached through group outreach and education events  6,355 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,154 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $301,198 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    28   
Arkansas  Arkansas Department of Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  102 
Total number of SMP team member hours  4,795 
Number of group outreach and education events  211 
Estimated number of people reached through group outreach and education events  5,299 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  199 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $620 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $269,890 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    29   
California  California Health Advocates 
 
Performance measures  Total for 2020 
Total number of active SMP team members  505 
Total number of SMP team member hours  28,358 
Number of group outreach and education events  559 
Estimated number of people reached through group outreach and education events  23,152 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  25,535 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,243 
Expected Medicare recoveries attributable to the project  $6,909,480 
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  $3,364 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $789 
Total savings attributable to the project  $6,913,634 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $544,504 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    30   
 
Colorado  State of Colorado Division of Insurance  DORA 
 
Performance measures  Total for 2020 
Total number of active SMP team members  74 
Total number of SMP team member hours  9,509 
Number of group outreach and education events  157 
Estimated number of people reached through group outreach and education events  4,047 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,562 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $279,641 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    31   
 
Connecticut  State of Connecticut Department of Rehabilitation 
 
Performance measures  Total for 2020 
Total number of active SMP team members  63 
Total number of SMP team member hours  5,805 
Number of group outreach and education events  97 
Estimated number of people reached through group outreach and education events  2,444 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  131 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $72 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $268,211 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    32   
 
Delaware  Delaware DHSS  Division of Social Services  
 
Performance measures  Total for 2020 
Total number of active SMP team members  18 
Total number of SMP team member hours  7,165 
Number of group outreach and education events  58 
Estimated number of people reached through group outreach and education events  1,594 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  21 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $241,734 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    33   
District of Columbia  AARP Legal Counsel for the Elderly 
 
Performance measures  Total for 2020 
Total number of active SMP team members  51 
Total number of SMP team member hours  5,834 
Number of group outreach and education events  81 
Estimated number of people reached through group outreach and education events  1,668 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  123 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $235,290 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    34   
 
Florida  Florida Department of Elder Affairs  
 
Performance measures  Total for 2020 
Total number of active SMP team members  367 
Total number of SMP team member hours  44,698 
Number of group outreach and education events  1,238 
Estimated number of people reached through group outreach and education events  37,614 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  29,850 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $460,557 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    35   
 
Georgia  eQHealth Solutions, Inc.  
 
Performance measures  Total for 2020 
Total number of active SMP team members  18 
Total number of SMP team member hours  6,456 
Number of group outreach and education events  33 
Estimated number of people reached through group outreach and education events  1,184 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  152 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $329,326 
 
 
 
   
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    36   
 
Guam  Guam Department of Public Health and Social Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  3 
Total number of SMP team member hours  180 
Number of group outreach and education events  17 
Estimated number of people reached through group outreach and education events  367 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  254 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $95,000 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    37   
 
Hawaii  State of Hawaii Department of Health 
 
Performance measures  Total for 2020 
Total number of active SMP team members  51 
Total number of SMP team member hours  6,726 
Number of group outreach and education events  45 
Estimated number of people reached through group outreach and education events  3,536 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  322 
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  $294 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $294 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $245,764 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    38   
 
Idaho  Idaho Commission on Aging  
 
Performance measures  Total for 2020 
Total number of active SMP team members  77 
Total number of SMP team member hours  9,966 
Number of group outreach and education events  138 
Estimated number of people reached through group outreach and education events  4,259 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,998 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,100 
Expected Medicare recoveries attributable to the project  $5,372 
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  $350 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $493 
Total savings attributable to the project  $6,215 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $249,508 
 
 
 
 
 
 
 
   
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    39   
 
Illinois  AgeOptions 
 
Performance measures  Total for 2020 
Total number of active SMP team members  68 
Total number of SMP team member hours  7,505 
Number of group outreach and education events  230 
Estimated number of people reached through group outreach and education events  4,905 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,623 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $358,863 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    40   
 
Indiana  Indiana Association of Area Agencies on Aging Education Institute 
 
Performance measures  Total for 2020 
Total number of active SMP team members  76 
Total number of SMP team member hours  6,828 
Number of group outreach and education events  157 
Estimated number of people reached through group outreach and education events  14,939 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,412 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $303,697 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    41   
 
Iowa  Iowa Insurance Division - SHIP 
 
Performance measures  Total for 2020 
Total number of active SMP team members  254 
Total number of SMP team member hours  13,509 
Number of group outreach and education events  69 
Estimated number of people reached through group outreach and education events  2,964 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  10,997 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $268,734 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    42   
 
Kansas  Kansas Department on Aging and Disability Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  81 
Total number of SMP team member hours  3,866 
Number of group outreach and education events  190 
Estimated number of people reached through group outreach and education events  8,351 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,646 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $262,153 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    43   
 
Kentucky  Louisville-Jefferson County Metro Government 
 
Performance measures  Total for 2020 
Total number of active SMP team members  92 
Total number of SMP team member hours  10,162 
Number of group outreach and education events  156 
Estimated number of people reached through group outreach and education events  5,461 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  844 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $2,275 
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  $974 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $3,249 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $288,445 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    44   
 
Louisiana  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  59 
Total number of SMP team member hours  5,381 
Number of group outreach and education events  74 
Estimated number of people reached through group outreach and education events  8,434 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  370 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $280,508 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    45   
 
Maine  Maine Department of Health and Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  97 
Total number of SMP team member hours  8,405 
Number of group outreach and education events  253 
Estimated number of people reached through group outreach and education events  2,954 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,021 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $251,160 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    46   
 
Maryland  Maryland Department of Aging 
 
Performance measures  Total for 2020 
Total number of active SMP team members  87 
Total number of SMP team member hours  5,687 
Number of group outreach and education events  150 
Estimated number of people reached through group outreach and education events  6,811 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,875 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $287,337 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    47   
 
Massachusetts  Elder Services of the Merrimack Valley, Inc.  
 
Performance measures  Total for 2020 
Total number of active SMP team members  80 
Total number of SMP team member hours  6,401 
Number of group outreach and education events  167 
Estimated number of people reached through group outreach and education events  8,596 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  120 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $5,196 
Expected Medicare recoveries attributable to the project  $10,418 
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  $600 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $11,018 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $304,115 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    48   
 
Michigan  MMAP, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  751 
Total number of SMP team member hours  16,511 
Number of group outreach and education events  188 
Estimated number of people reached through group outreach and education events  7,536 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,203 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $349,226 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    49   
 
Minnesota  Minnesota Board on Aging 
 
Performance measures  Total for 2020 
Total number of active SMP team members  132 
Total number of SMP team member hours  1,666 
Number of group outreach and education events  259 
Estimated number of people reached through group outreach and education events  4,588 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  583 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $289,395 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    50   
 
Mississippi  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  10 
Total number of SMP team member hours  5,029 
Number of group outreach and education events  49 
Estimated number of people reached through group outreach and education events  3,392 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  99 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $268,447 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    51   
 
Missouri  District III Area Agency on Aging 
 
Performance measures  Total for 2020 
Total number of active SMP team members  143 
Total number of SMP team member hours  4,372 
Number of group outreach and education events  361 
Estimated number of people reached through group outreach and education events  14,493 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  288 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $303,543 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    52   
 
Montana  Missoula Aging Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  56 
Total number of SMP team member hours  4,813 
Number of group outreach and education events  195 
Estimated number of people reached through group outreach and education events  6,621 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,619 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $385 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $244,059 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    53   
 
 
Nebraska  Nebraska Department of Insurance 
 
Performance measures  Total for 2020 
Total number of active SMP team members  140 
Total number of SMP team member hours  4,224 
Number of group outreach and education events  101 
Estimated number of people reached through group outreach and education events  6,153 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,834 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $251,030 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    54   
 
 
Nevada  Nevada Department of Health and Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  99 
Total number of SMP team member hours  20,743 
Number of group outreach and education events  347 
Estimated number of people reached through group outreach and education events  7,614 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,916 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $919 
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  $919 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $258,416 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    55   
 
New Hampshire  Department of Health and Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  42 
Total number of SMP team member hours  2,471 
Number of group outreach and education events  63 
Estimated number of people reached through group outreach and education events  1,469 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,449 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $247,504 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    56   
 
New Jersey  Jewish Family & Vocational Service of Middlesex County 
 
Performance measures  Total for 2020 
Total number of active SMP team members  24 
Total number of SMP team member hours  5,017 
Number of group outreach and education events  62 
Estimated number of people reached through group outreach and education events  2,648 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  167 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $845 
Expected Medicare recoveries attributable to the project  $357,584 
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  $14,050 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $371,634 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $319,231 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    57   
 
 
New Mexico  New Mexico Aging and Long-Term Services Department 
 
Performance measures  Total for 2020 
Total number of active SMP team members  30 
Total number of SMP team member hours  3,638 
Number of group outreach and education events  120 
Estimated number of people reached through group outreach and education events  3,385 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,067 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $505 
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  $227 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $227 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $254,579 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    58   
 
 
New York  New York Statewide Senior Action Council, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  51 
Total number of SMP team member hours  11,633 
Number of group outreach and education events  272 
Estimated number of people reached through group outreach and education events  17,260 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,581 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $429,943 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    59   
 
North Carolina  North Carolina Department of Insurance 
 
Performance measures  Total for 2020 
Total number of active SMP team members  208 
Total number of SMP team member hours  9,643 
Number of group outreach and education events  236 
Estimated number of people reached through group outreach and education events  36,255 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,223 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $345,437 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    60   
 
North Dakota  Minot State University 
 
Performance measures  Total for 2020 
Total number of active SMP team members  124 
Total number of SMP team member hours  4,162 
Number of group outreach and education events  182 
Estimated number of people reached through group outreach and education events  4,280 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  107 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $547 
Expected Medicare recoveries attributable to the project  $2,145 
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  $2,145 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $238,000 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    61   
 
 
Ohio  Pro Seniors, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  62 
Total number of SMP team member hours  6,248 
Number of group outreach and education events  216 
Estimated number of people reached through group outreach and education events  9,192 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  263 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $6,707 
Expected Medicare recoveries attributable to the project  $806 
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  $3,200 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $4,006 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $364,851 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    62   
Oklahoma  Oklahoma Insurance Department 
 
Performance measures  Total for 2020 
Total number of active SMP team members  27 
Total number of SMP team member hours  4,267 
Number of group outreach and education events  130 
Estimated number of people reached through group outreach and education events  3,672 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  569 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $274,467 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    63   
 
Oregon  DHS, Office of Financial Services, Director's Office 
 
Performance measures  Total for 2020 
Total number of active SMP team members  152 
Total number of SMP team member hours  5,941 
Number of group outreach and education events  192 
Estimated number of people reached through group outreach and education events  3,244 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,528 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $279,193 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    64   
 
Pennsylvania  Center for Advocacy for the Rights and Interests of Elders 
 
Performance measures  Total for 2020 
Total number of active SMP team members  30 
Total number of SMP team member hours  6,445 
Number of group outreach and education events  57 
Estimated number of people reached through group outreach and education events  996 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  229 
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  $2,550 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $2,550 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $387,150 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    65   
 
Pue rto Rico  Hispanic-American Institute, Inc.  
 
 
Performance measures  Total for 2020 
Total number of active SMP team members  6 
Total number of SMP team member hours  4,143 
Number of group outreach and education events  28 
Estimated number of people reached through group outreach and education events  1,790 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $276,320 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    66   
 
Rhode Island  RI Department of Elderly Affairs 
 
Performance measures  Total for 2020 
Total number of active SMP team members  73 
Total number of SMP team member hours  8,279 
Number of group outreach and education events  74 
Estimated number of people reached through group outreach and education events  2,073 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,028 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $242,145 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    67   
 
 
South Carolina  South Carolina Office of Lieutenant Governor 
 
Performance measures  Total for 2020 
Total number of active SMP team members  25 
Total number of SMP team member hours  13,497 
Number of group outreach and education events  142 
Estimated number of people reached through group outreach and education events  14,327 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,179 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $290,985 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    68   
 
 
South Dakota  South Dakota Department of Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  27 
Total number of SMP team member hours  1,752 
Number of group outreach and education events  8 
Estimated number of people reached through group outreach and education events  136 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,342 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $240,734 
 
 
 
 
 
 
 
 
Memorandum Report:  2020 Performance Data for the Senior Medicare Patrol Projects (OEI-02-21-00180)                    69   
 
Tennessee  Upper Cumberland Development District 
 
Performance measures  Total for 2020 
Total number of active SMP team members  390 
Total number of SMP team member hours  22,206 
Number of group outreach and education events  285 
Estimated number of people reached through group outreach and education events  20,875 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  46,866 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $310,478 
 
 
 
 
 
 
 
 
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Texas  Better Business Bureau Educational Foundation 
 
Performance measures  Total for 2020 
Total number of active SMP team members  170 
Total number of SMP team member hours  9,048 
Number of group outreach and education events  394 
Estimated number of people reached through group outreach and education events  13,808 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,103 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $9,500,000 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $9,500,000 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $446,096 
 
 
 
 
 
 
 
 
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U.S. Virgin Islands  Legal Services of the Virgin Islands, Inc.  
 
Performance measures  Total for 2020 
Total number of active SMP team members  6 
Total number of SMP team member hours  2,137 
Number of group outreach and education events  23 
Estimated number of people reached through group outreach and education events  1,077 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $95,000 
   
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Utah  Utah Department of Human Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  116 
Total number of SMP team member hours  13,116 
Number of group outreach and education events  565 
Estimated number of people reached through group outreach and education events  32,918 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  10,894 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,456 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $252,386 
 
 
 
 
 
 
 
 
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Vermont  Community of Vermont Elders 
 
Performance measures  Total for 2020 
Total number of active SMP team members  23 
Total number of SMP team member hours  3,551 
Number of group outreach and education events  51 
Estimated number of people reached through group outreach and education events  723 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $239,232 
 
 
 
 
 
 
 
 
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Virginia  Virginia Association of Area Agencies on Aging, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  95 
Total number of SMP team member hours  8,146 
Number of group outreach and education events  181 
Estimated number of people reached through group outreach and education events  8,280 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,625 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $316,512 
 
 
 
 
 
 
 
 
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Washington  Washington State Office of the Insurance Commissioner 
 
Performance measures  Total for 2020 
Total number of active SMP team members  97 
Total number of SMP team member hours  3,458 
Number of group outreach and education events  220 
Estimated number of people reached through group outreach and education events  6,195 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,131 
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  $5,558 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $5,558 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $305,750 
 
 
 
 
 
 
 
 
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West Virginia  West Virginia Bureau of Senior Services 
 
Performance measures  Total for 2020 
Total number of active SMP team members  72 
Total number of SMP team member hours  4,036 
Number of group outreach and education events  202 
Estimated number of people reached through group outreach and education events  6,642 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,912 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $258,072 
 
 
 
 
 
 
 
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Wisconsin  Greater Wisconsin Agency on Aging Resources, Inc.                                
 
Performance measures  Total for 2020 
Total number of active SMP team members  15 
Total number of SMP team member hours  4,265 
Number of group outreach and education events  19 
Estimated number of people reached through group outreach and education events  1,346 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  150 
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 from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $298,546 
 
 
 
 
 
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Wyoming  Wyoming Senior Citizens, Inc. 
 
Performance measures  Total for 2020 
Total number of active SMP team members  66 
Total number of SMP team member hours  6,863 
Number of group outreach and education events  21 
Estimated number of people reached through group outreach and education events  622 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,267 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $28,849 
Expected Medicare recoveries attributable to the project  $16,051 
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  $1,105 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $17,156 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals from SMP projects that led to the opening of investigations or from meaningful contributions by SMP projects to existing investigations. 
 
Grant Total: $236,651 
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APPENDIX F 
Definitions of Performance Measures 
Total number of active SMP  Individuals who spent any time on the SMP program, including those paid by the 
team members  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 the 
and education events 
detection of health care fraud, errors, and abuse. 
Estimated number of people  Total estimated number of people reached as a result of SMP group outreach 
reached through group  and education activities. 
outreach and education 
events 
Number of individual  Individual interactions between SMP team members and beneficiaries, family 
interactions with, or on  members, caregivers, or others for the purpose of discussing or gathering 
information about potential health care fraud, errors, or abuse. 
behalf of, a Medicare 
beneficiary 
Cost avoidance on behalf of  Health care expenditures for which the government, a beneficiary, or other entity 
Medicare, Medicaid,  (e.g., secondary health insurer or a pharmacy) was relieved of responsibility for 
payment as a result of the SMP project. 
beneficiaries, or others 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Expected Medicare 
agreed upon to be returned to Medicare and may not reflect actual collections.  
recoveries attributable to 
Recoveries may also involve cases that include participation by a Medicare 
the projects 
contractor or a law enforcement agency.  This measure includes recoveries 
from referrals from SMP projects that led to the opening of investigations or 
from meaningful contributions by SMP projects to existing investigations. 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Additional expected  agreed 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. 
 
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Definitions of Performance Measures (continued)  
This amount represents actual and expected Medicaid recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This measure applies to the amount of money that was ordered or 
Expected Medicaid 
agreed upon to be returned to Medicaid and may not reflect actual collections.  
recoveries attributable to 
Recoveries may also involve cases that include participation by a Medicaid Fraud 
the projects 
Control Unit or a law enforcement agency.  This measure includes recoveries 
from referrals from SMP projects that led to the opening of investigations or 
from meaningful contributions by SMP projects to existing investigations. 
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 upon 
Additional expected 
to be returned to Medicaid and may not reflect actual collections.  Recoveries 
Medicaid recoveries 
may also involve cases that include participation by a Medicaid contractor or a 
attributable to the projects 
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  Money recouped to an entity other than Medicare, Medicaid, or a beneficiary 
to the projects (e.g., savings  (e.g., a secondary health insurer) as a result of the SMP project. 
to supplemental insurance) 
 
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