DEP.\RTi\-lE:\T OF HEALTH Ai\D HUi\L\:\ SERVICES 
OFFICE OF INSPECTOR GENERAL 
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May 31, 2018
TO:  Josh Hodges 
Acting Deputy Administrator for the Center for Integrated Programs 
Administration for Community Living 
FROM: 
SUBJECT:  Memorandum Report:  2077 Performance Data for the Senior Medicare Patrol Projects, 
OEl-02-18-00130 
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) 
projects for 2017.  The Office of Inspector General (OIG) has collected these data since 1997. 
In July 2010, the Administration on Aging (AoA), which is part of the Administration for 
Community Living (ACL), requested that OIG continue to collect and report performance data 
for the projects to support its efforts to evaluate and improve their performance.  OIG reports 
these performance data on an annual basis.  In 2015, ACL substantially changed the 
performance measures.  As a result, the measures presented in this report and last year's 
report differ from those presented in previous years. 
SUMMARY 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
senior citizens to prevent, recognize, and report health care fraud, errors, and abuse.  These SMP 
team members then participate in outreach events to help educate other Medicare and Medicaid 
beneficiaries to do the same.  In 2017, the 53 projects: 
 had 6,130 active team members;
 conducted 26,429 group outreach and education events; and
 had 226,261 individual interactions with, or on behalf of, a Medicare beneficiary.
The projects also had the following results: 
 $2,010,475 in expected Medicare recoveries that were attributable to the projects;
 $211,749 in cost avoidance on behalf of Medicare, Medicaid, beneficiaries, and others; and Page 2  Josh Hodges 
 
  $44,468 in total savings to beneficiaries and others. 
 
We note that the projects may not be receiving full credit for recoveries, savings, and cost 
avoidance attributable to their work.  It is not always possible to track referrals to Medicare 
contractors or law enforcement from beneficiaries who have learned to detect fraud, waste, and 
abuse from the projects.  In addition, the projects are unable to track the potentially substantial 
savings derived from a sentinel effect, whereby Medicare beneficiaries scrutiny of their bills 
reduces fraud and errors. 
 
BACKGROUND   
 
There is 1 SMP project in each of the 50 States, the District of Columbia, Puerto Rico, and Guam, for 
a total of 53 projects.  In 2017, funding for the projects totaled $18.6 million in Health Care Fraud 
and Abuse Control Program (HCFAC) funding, including $571,000 in carryover funds.  Of that 
$18.6 million, $3.1 million supported infrastructure, technical assistance, and other SMP project 
activities, and $15.5 million went to SMP projects to help beneficiaries prevent, detect, and report 
Medicare fraud, errors, and abuse.  In 2016, funding for the projects totaled $18 million.  
 
Performance Measures   
Since the beginning of the program, ACL has modified the performance measures in a number of 
ways.  In 2007, the projects were required to begin measuring cost avoidancethe health care 
expenditures for which Medicare, Medicaid, a beneficiary, or another entity (e.g., a secondary 
health insurer or a pharmacy) was relieved of responsibility for payment as a result of the projects.  
In 2012, ACL expanded the performance measures for both Medicare and Medicaid recoveries to 
account for expected recoveries as well as actual recoveries.  This is consistent with the way OIG 
reports its recoveries.1   
 
In 2015, ACL changed the other performance measures, with the goal of aligning them more 
closely with the SMP projects outcomes.  Specifically, ACL reduced the number of performance 
measures from 21 to 10 by keeping the 5 measures pertaining to recoveries, savings, and cost 
avoidance and combining or redefining the 16 measures pertaining to volunteer and outreach 
activities, condensing them into 5 new measures.  In addition, ACL no longer requires the projects 
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.   
 
______________________________________________________________________________ 
1 As required by the Inspector General Act of 1978 (P.L. No. 95-452), as amended, OIG reports semiannually to the 
Secretary of Health and Human Services and to Congress on the activities of the office.  In the semiannual report, OIG 
reports expected recoveries.  See the most recent semiannual report at https://oig.hhs.gov/reports-and-
publications/semiannual/index.asp. 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    Page 3  Josh Hodges 
 
In 2017, OIG added two new measures that capture additional expected recoveries from cases in 
which the SMP projects were minimally involved.  These new measuresone for Medicare and the 
other for Medicaidinclude actual and expected recoveries that resulted from SMP referrals that 
validated information in an existing investigation.  In contrast, the original two measures on 
expected recoveries capture recoveries from referrals that led to the opening of an investigation or 
from meaningful contributions to an existing investigation by an SMP project. 
 
Tracking Systems 
Beginning in October 2015, ACL implemented a new reporting systemthe SMP Information and 
Reporting System (SIRS).  The SMP projects are required to use this system to track and report 
activities and complaints and to refer cases to an investigative agency when necessary.  Prior to 
implementing this system, ACL used a Web-based system named the Seniors Medicare Assistance 
and Reporting Tool for Fraud and Complaint Tracking System (SMART FACTS).   
 
METHODOLOGY   
 
We based our review on data reported by 53 SMP projects for 2017.  The data are from SIRS, which 
the program maintains.  In this report, we provide the first 2 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 attending 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 
This study was conducted in accordance with the Quality Standards for Inspection and Evaluation 
issued by the Council of the Inspectors General on Integrity and Efficiency. 
 
RESULTS 
 
Results for 2017 
In 2017, the 53 SMP projects had a total of 6,130 total active team members who conducted a total 
of 26,429 group outreach and education events, reaching an estimated 1.9 million people.  In 
addition, the projects had 226,261 individual interactions with, or on behalf of, a Medicare 
beneficiary. 
 
For 2017, expected Medicare recoveries totaled $2,010,475, which came primarily from one project 
that prompted law enforcement to open an investigation that resulted in a settlement with 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    Page 4  Josh Hodges 
 
a hospice company.  The SMP projects also reported $211,749 in cost avoidance and $44,468 in 
savings to beneficiaries and others.  Further, additional Medicare expected recoveries totaled 
$53.2 million and additional Medicaid expected recoveries totaled $1.8 million.  These recoveries 
came from two projects that validated information in existing investigations related to home health 
and hospice fraud. 
 
In comparison to 2016, the projects reported having reached more people through group outreach 
and education events (1.9 million, up from 1.5 million) and reported having had more individual 
interactions (226,261, up from 195,386).  The number of total active team members and the number 
of group outreach and education events remained fairly constant between the 2 years.  In addition, 
the projects reported significantly higher amounts for expected Medicare recoveries ($2 million, up 
from $2,672) and slightly higher amounts for cost avoidance ($211,749, up from $163,904).  
However, the projects also reported slightly lower savings to beneficiaries and others ($44,648, 
down from $53,449).  The projects reported no expected Medicaid recoveries in either year. 
 
Results Since 1997  
Since the programs inception 21 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 2017 were 
$119.7 million.2  Most of the recoveries resulted from one projects involvement in adjustments to 
Medicaid claims for individuals entitled to both Medicare and Medicaid.3  Total savings to 
beneficiaries and others were approximately $7.1 million.  Total cost avoidance on behalf of 
Medicare, Medicaid, beneficiaries, and others was $9.4 million.  
 
CONCLUSION 
 
The SMP projects receive grants from ACL to recruit and train retired professionals and other 
senior citizens to recognize and report instances or patterns of health care fraud.  In 2017, the SMP 
projects had a total of 6,130 total active team members who conducted a total of 26,429 group 
outreach and education events, reaching an estimated 1.9 million people.  Results attributable to 
their efforts included $2 million in expected Medicare recoveries, $211,749 in cost avoidance, and 
$44,468 in savings to beneficiaries and others.  In comparison to 2016, the projects reported 
significantly higher amounts for expected Medicare recoveries and slightly higher amounts for cost 
avoidance.  However, the projects also reported slightly lower savings to beneficiaries and others.  
______________________________________________________________________________ 
2 Prior to 2007, OIG reviewed documentation on savings to Medicare only and included self-reported data on savings to 
Medicaid, beneficiaries, and other entities.  In addition, prior to 2012, the projects reported only actual recoveries.  
3 The project reported these savings between 2001 and 2003. 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    Page 5  Josh Hodges 
 
In addition, in 2017, the projects reported $53.2 million in additional expected Medicare recoveries 
and $1.8 million in additional expected Medicaid recoveries. 
 
We note that the projects may not be receiving full credit for recoveries, savings, and cost 
avoidance attributable to their work.  It is not always possible to track referrals to Medicare 
contractors or law enforcement from beneficiaries who have learned to detect fraud, waste, and 
abuse from the projects.  In addition, the projects are unable to track the potentially substantial 
savings derived from a sentinel effect, whereby Medicare beneficiaries scrutiny of their bills 
reduces fraud and errors. 
 
As agreed, we will continue to monitor the projects and will provide ACL with annual summary 
reports of performance data.  This memorandum report is being issued directly in final form 
because it contains no recommendations.  If you have comments or questions about this 
memorandum report, please provide them within 60 days.  Please refer to report number  
OEI-02-18-00130 in all correspondence.   
 
cc:     
Kathleen Cantwell 
Director of the Office of Strategic Operations and Regulatory Affairs 
Centers for Medicare & Medicaid Services
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)     
Results for Performance Measures 
for the Senior Medicare Patrol Projects 
 
 
List of Appendixes 
 
Appendix A:  Summary of Overall Performance of Projects in 2017 ............................................. 7 
 
Appendix B:  Summary of Performance on Recoveries, Savings,                                                            
and Cost Avoidance, Since 1997 ..................................................................................... 8 
 
Appendix C:  Summary of Performance on SMP Activities, 20162017 ........................................ 9 
 
Appendix D:  Results for 2017, by Performance Measure ............................................................... 10 
 
Appendix E:  Results for 2017, by Project ............................................................................................ 23 
 
Appendix F:  Definitions of Performance Measures ......................................................................... 77 
 
   
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    6   
APPENDIX A 
Summary of Overall Performance of Projects in 2017* 
Performance measures  Total for 2017 
Total number of active SMP team members  6,130 
Total number of SMP team member hours  433,728 
Number of group outreach and education events  26,429 
Estimated number of people reached through group outreach and education events  1,895,594 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  226,261 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $211,749 
Expected Medicare recoveries attributable to the projects  $2,010,475 
Additional expected Medicare recoveries attributable to the projects**  $53,248,830 
Expected Medicaid recoveries attributable to the projects  $0 
Additional expected Medicaid recoveries attributable to the projects**   $1,789,200 
Savings to beneficiaries attributable to the projects  $43,726 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $741 
Total savings attributable to the projects***  $2,054,942 
* The totals in this table have been rounded.  
** Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
*** Total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    7   
APPENDIX B 
 
Summary of Performance on Recoveries, Savings, and Cost Avoidance, Since 1997 
Performance measures  Total Since 1997 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others*  $9,436,972 
Expected Medicare recoveries attributable to the projects**  $24,844,238 
Additional expected Medicare recoveries attributable to the projects***  $53,248,830 
Expected Medicaid recoveries attributable to the projects**  $94,812,297 
Additional expected Medicaid recoveries attributable to the projects***  $1,789,200 
Savings to beneficiaries attributable to the projects  $3,628,685 
Other savings attributable to the projects (e.g., savings to supplemental insurance)  $3,473,086 
Total savings attributable to the projects****  $126,758,306 
*  This performance measure has been reported since 2007. 
**  This performance measure was changed in 2012 to include both actual recoveries and expected recoveries. 
*** Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project.  This 
performance measure is being reported for the first time. 
**** Total savings includes expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    8   
APPENDIX C 
 
 
Summary of Performance on SMP Activities, 2016-2017 
Performance measures*  Total:  20162017 
Total number of active SMP team members  12,256 
Total number of SMP team member hours  848,770 
Number of group outreach and education events    52,649 
Estimated number of people reached through group outreach and education events  3,388,246 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  421,647 
* 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:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    9   
APPENDIX D   
 
Results for 2017, by Performance Measure 
 
The following tables provide the results by performance measure for each of the 53 Senior Medicare Patrol projects. 
   
Note:  Because of rounding, the totals listed in Appendix A may not match the sums of the corresponding individual figures 
listed here in Appendix D. 
   
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    10   
Total number of active SMP team members 
 
         Total for 2017      Total for 2017 
Alabama  60    Montana  93 
Alaska  20    Nebraska  152 
Arizona   50    Nevada  84 
Arkansas  138    New Hampshire  32 
California  629    New Jersey   66 
Colorado  65    New Mexico  29 
Connecticut  93    New York  105 
Delaware  39    North Carolina   128 
District of Columbia   71    North Dakota  93 
Florida  75    Ohio   87 
Georgia   222    Oklahoma  56 
Guam  21    Oregon   228 
Hawaii  62    Pennsylvania  44 
Idaho  112    Puerto Rico  0 
Illinois  97    Rhode Island  82 
Indiana  66    South Carolina  22 
Iowa  56    South Dakota  103 
Kansas  7    Tennessee  432 
Kentucky  152    Texas   164 
Louisiana  80    Utah  139 
Maine  134    Vermont  31 
Maryland  196    Virginia   80 
Massachusetts  100    Washington   51 
Michigan   836    West Virginia  56 
Minnesota  131    Wisconsin  48 
Mississippi  32    Wyoming  68 
Missouri  113       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    11   
Total number of SMP team member hours 
 
  Total for 2017      Total for 2017 
Alabama  16,065    Montana  3,261 
Alaska  4,250    Nebraska  2,421 
Arizona   6,614    Nevada  10,418 
Arkansas  7,408    New Hampshire  2,153 
California  56,520    New Jersey   5,795 
Colorado  4,976    New Mexico  9,403 
Connecticut  6,300    New York  7,661 
Delaware  4,827    North Carolina   6,730 
District of Columbia   7,700    North Dakota  5,080 
Florida  11,441    Ohio   5,571 
Georgia   13,099    Oklahoma  3,429 
Guam  3,976    Oregon   5,110 
Hawaii  4,379    Pennsylvania  6,688 
Idaho  9,712    Puerto Rico  0 
Illinois  7,327    Rhode Island  8,305 
Indiana  6,836    South Carolina  4,902 
Iowa  7,520    South Dakota  8,871 
Kansas  837    Tennessee  24,870 
Kentucky  11,863    Texas   6,026 
Louisiana  3,322    Utah  14,351 
Maine  13,633    Vermont  4,161 
Maryland  6,601    Virginia   9,085 
Massachusetts  9,330    Washington   5,148 
Michigan   19,520    West Virginia  5,772 
Minnesota  3,701    Wisconsin  6,281 
Mississippi  5,411    Wyoming  4,225 
Missouri  4,841       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    12   
Number of group outreach and education events 
 
  Total for 2017      Total for 2017 
Alabama  444    Montana  575 
Alaska  129    Nebraska  380 
Arizona   513    Nevada  370 
Arkansas  300    New Hampshire  375 
California  2,495    New Jersey   241 
Colorado  368    New Mexico  649 
Connecticut  201    New York  423 
Delaware  147    North Carolina   345 
District of Columbia   276    North Dakota  703 
Florida  644    Ohio   247 
Georgia   1,700    Oklahoma  572 
Guam  222    Oregon   269 
Hawaii  159    Pennsylvania  256 
Idaho  532    Puerto Rico  0 
Illinois  564    Rhode Island  369 
Indiana  335    South Carolina  331 
Iowa  280    South Dakota  219 
Kansas  45    Tennessee  1,304 
Kentucky  419    Texas   827 
Louisiana  236    Utah  1,143 
Maine  529    Vermont  88 
Maryland  385    Virginia   507 
Massachusetts  159    Washington   935 
Michigan   753    West Virginia  692 
Minnesota  287    Wisconsin  183 
Mississippi  142    Wyoming  112 
Missouri  2,050       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    13   
Estimated number of people reached through group outreach and education events 
 
  Total for 2017      Total for 2017 
Alabama  20,031    Montana  17,169 
Alaska  3,749    Nebraska  14,867 
Arizona   185,138    Nevada  13,533 
Arkansas  15,517    New Hampshire  8,471 
California  164,646    New Jersey   10,124 
Colorado  18,322    New Mexico  18,819 
Connecticut  8,776    New York  26,326 
Delaware  6,887    North Carolina   38,403 
District of Columbia   7,937    North Dakota  19,455 
Florida  113,190    Ohio   16,188 
Georgia   69,840    Oklahoma  29,148 
Guam  6,357    Oregon   14,544 
Hawaii  10,607    Pennsylvania  9,516 
Idaho  13,074    Puerto Rico  0 
Illinois  23,064    Rhode Island  12,074 
Indiana  40,278    South Carolina  22,619 
Iowa  10,561    South Dakota  18,284 
Kansas  16,836    Tennessee  101,276 
Kentucky  13,863    Texas   36,377 
Louisiana  49,922    Utah  45,178 
Maine  29,428    Vermont  1,952 
Maryland  14,784    Virginia   29,669 
Massachusetts  14,507    Washington   20,802 
Michigan   86,687    West Virginia  30,961 
Minnesota  207,095    Wisconsin  44,354 
Mississippi  42,638    Wyoming  5,917 
Missouri  95,834       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    14   
Number of individual interactions with, or on behalf of, a Medicare beneficiary  
 
  Total for 2017      Total for 2017 
Alabama  15,382    Montana  809 
Alaska  89    Nebraska  3,233 
Arizona   56    Nevada  3,000 
Arkansas  190    New Hampshire  3,547 
California  28,853    New Jersey   575 
Colorado  5,489    New Mexico  5,719 
Connecticut  305    New York  445 
Delaware  316    North Carolina   6,219 
District of Columbia   212    North Dakota  129 
Florida  575    Ohio   66 
Georgia   3,586    Oklahoma  319 
Guam  1,217    Oregon   10,409 
Hawaii  104    Pennsylvania  669 
Idaho  2,834    Puerto Rico  0 
Illinois  5,030    Rhode Island  8,534 
Indiana  1,442    South Carolina  6,095 
Iowa  456    South Dakota  4,775 
Kansas  82    Tennessee  27,885 
Kentucky  2,506    Texas   673 
Louisiana  163    Utah  13,739 
Maine  8,209    Vermont  36 
Maryland  18,288    Virginia   4,625 
Massachusetts  140    Washington   7,122 
Michigan   9,024    West Virginia  2,657 
Minnesota  2,506    Wisconsin  187 
Mississippi  121    Wyoming  4,514 
Missouri  3,105       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    15   
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others 
 
  Total for 2017      Total for 2017 
Alabama  $0    Montana  $0 
Alaska  $11,857    Nebraska  $0 
Arizona   $0    Nevada  $78 
Arkansas  $6,850    New Hampshire  $0 
California  $9,944    New Jersey   $51,736 
Colorado  $7,693    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $2,140    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $1,607    Ohio   $0 
Georgia   $17,814    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $2,986 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $62,132 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $15,223 
Maine  $0    Vermont  $0 
Maryland  $863    Virginia   $0 
Massachusetts  $4,082    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $384 
Mississippi  $0    Wyoming  $16,359 
Missouri  $0       
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    16   
Expected Medicare recoveries attributable to the projects 
 
  Total for 2017      Total for 2017 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $2,005,088 
Arkansas  $0    New Hampshire  $0 
California  $1,917    New Jersey   $0 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $624 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $374    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $117 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $305 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $1,947    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $104 
Missouri  $0       
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    17   
Additional expected Medicare recoveries attributable to the projects* 
 
  Total for 2017      Total for 2017 
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  $36,139,390    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $17,109,440    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $0 
Missouri  $0       
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from referrals that 
led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    18   
Expected Medicaid recoveries attributable to the projects 
 
  Total for 2017      Total for 2017 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $0    New Jersey   $0 
Colorado  $0    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $0    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $0 
Missouri  $0       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    19   
Additional expected Medicaid recoveries attributable to the projects* 
 
  Total for 2017      Total for 2017 
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  $1,789,200    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $0 
Missouri  $0       
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from referrals that 
led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    20   
Savings to beneficiaries attributable to the projects 
 
  Total for 2017      Total for 2017 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $176 
Arkansas  $0    New Hampshire  $0 
California  $312    New Jersey   $28,856 
Colorado  $1,046    New Mexico  $0 
Connecticut  $0    New York  $0 
Delaware  $265    North Carolina   $0 
District of Columbia   $0    North Dakota  $0 
Florida  $0    Ohio   $843 
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  $425 
Kentucky  $4,015    Texas   $0 
Louisiana  $839    Utah  $416 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $0    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $6,533 
Missouri  $0       
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    21   
Other savings attributable to the projects (e.g., savings to supplemental insurance)  
 
  Total for 2017      Total for 2017 
Alabama  $0    Montana  $0 
Alaska  $0    Nebraska  $0 
Arizona   $0    Nevada  $0 
Arkansas  $0    New Hampshire  $0 
California  $52    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  $193    Ohio   $0 
Georgia   $0    Oklahoma  $0 
Guam  $0    Oregon   $0 
Hawaii  $0    Pennsylvania  $0 
Idaho  $0    Puerto Rico  $0 
Illinois  $0    Rhode Island  $0 
Indiana  $0    South Carolina  $0 
Iowa  $0    South Dakota  $0 
Kansas  $0    Tennessee  $0 
Kentucky  $0    Texas   $0 
Louisiana  $0    Utah  $0 
Maine  $0    Vermont  $0 
Maryland  $0    Virginia   $0 
Massachusetts  $497    Washington   $0 
Michigan   $0    West Virginia  $0 
Minnesota  $0    Wisconsin  $0 
Mississippi  $0    Wyoming  $0 
Missouri  $0       
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    22   
APPENDIX E 
 
Results for 2017, by Project 
 
The following tables provide the results for each performance measure for each of the 53 Senior Medicare Patrol projects in 
2017.  The tables also include the grant total for 2017 for each project.  In addition, the measure for total savings includes 
expected Medicare recoveries, expected Medicaid recoveries, and savings to the beneficiaries and others. 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)    23   
 
Alabama  State of Alabama Department of Senior Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  60 
Total number of SMP team member hours  16,065 
Number of group outreach and education events  444 
Estimated number of people reached through group outreach and education events  20,031 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  15,382 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $292,311 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                24   
Alaska  State of Alaska Department of Health & Social Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  20 
Total number of SMP team member hours  4,250 
Number of group outreach and education events  129 
Estimated number of people reached through group outreach and education events  3,749 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  89 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $11,857 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $245,963 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                25   
Arizona  Arizona Department of Economic Security 
 
Performance measures  Total for 2017 
Total number of active SMP team members  50 
Total number of SMP team member hours  6,614 
Number of group outreach and education events  513 
Estimated number of people reached through group outreach and education events  185,138 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  56 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $297,553 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                26   
Arkansas  Arkansas Department of Human Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  138 
Total number of SMP team member hours  7,408 
Number of group outreach and education events  300 
Estimated number of people reached through group outreach and education events  15,517 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  190 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $6,850 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $274,381 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                27   
California  California Health Advocates 
 
Performance measures  Total for 2017 
Total number of active SMP team members  629 
Total number of SMP team member hours  56,520 
Number of group outreach and education events  2,495 
Estimated number of people reached through group outreach and education events  164,646 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  28,853 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $9,944 
Expected Medicare recoveries attributable to the project  $1,917 
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  $312 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $52 
Total savings attributable to the project  $2,281 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $518,575 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                28   
 
 
Colorado  State of Colorado Division of Insurance - DORA 
 
Performance measures  Total for 2017 
Total number of active SMP team members  65 
Total number of SMP team member hours  4,976 
Number of group outreach and education events  368 
Estimated number of people reached through group outreach and education events  18,322 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,489 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $7,693 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $1,046 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $1,046 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $280,790 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                29   
 
Connecticut  State of Connecticut Department on Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  93 
Total number of SMP team member hours  6,300 
Number of group outreach and education events  201 
Estimated number of people reached through group outreach and education events  8,776 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  305 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $273,070 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                30   
 
Delaware   Delaware Department of Health and Social Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  39 
Total number of SMP team member hours  4,827 
Number of group outreach and education events  147 
Estimated number of people reached through group outreach and education events  6,887 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  316 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,140 
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  $265 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $265 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $250,843 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                31   
District of Columbia  AARP Legal Counsel for the Elderly 
 
Performance measures  Total for 2017 
Total number of active SMP team members  71 
Total number of SMP team member hours  7,700 
Number of group outreach and education events  276 
Estimated number of people reached through group outreach and education events  7,937 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  212 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $245,827 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                32   
 
Florida  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  75 
Total number of SMP team member hours  11,441 
Number of group outreach and education events  644 
Estimated number of people reached through group outreach and education events  113,190 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  575 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $1,607 
Expected Medicare recoveries attributable to the project  $374 
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)  $193 
Total savings attributable to the project  $567 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $438,626 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                33   
 
Georgia  Department of Human Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  222 
Total number of SMP team member hours  13,099 
Number of group outreach and education events  1,700 
Estimated number of people reached through group outreach and education events  69,840 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,586 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $17,814 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $321,008 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                34   
 
Guam  Guam Department of Public Health and Social Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  21 
Total number of SMP team member hours  3,976 
Number of group outreach and education events  222 
Estimated number of people reached through group outreach and education events  6,357 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,217 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $100,623 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                35   
 
 
Hawaii  State of Hawaii Department of Health 
 
Performance measures  Total for 2017 
Total number of active SMP team members  62 
Total number of SMP team member hours  4,379 
Number of group outreach and education events  159 
Estimated number of people reached through group outreach and education events  10,607 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  104 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $254,209 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                36   
 
Idaho  Idaho Commission on Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  112 
Total number of SMP team member hours  9,712 
Number of group outreach and education events  532 
Estimated number of people reached through group outreach and education events  13,074 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,834 
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 that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $256,886 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                37   
 
 
Illinois  AgeOptions 
 
Performance measures  Total for 2017 
Total number of active SMP team members  97 
Total number of SMP team member hours  7,327 
Number of group outreach and education events  564 
Estimated number of people reached through group outreach and education events  23,064 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,030 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $36,139,390 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $1,789,200 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $347,561 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                38   
 
Indiana   Indiana Association of Area Agencies on Aging Education Institute 
 
Performance measures  Total for 2017 
Total number of active SMP team members  66 
Total number of SMP team member hours  6,836 
Number of group outreach and education events  335 
Estimated number of people reached through group outreach and education events  40,278 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  1,442 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $301,652 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                39   
 
Iowa  Northeast Iowa  Area Agency on Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  56 
Total number of SMP team member hours  7,520 
Number of group outreach and education events  280 
Estimated number of people reached through group outreach and education events  10,561 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  456 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $273,222 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                40   
 
 
Kansas  Kansas Department on Aging and Disability Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  7 
Total number of SMP team member hours  837 
Number of group outreach and education events  45 
Estimated number of people reached through group outreach and education events  16,836 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  82 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $267,811 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                41   
 
Kentucky  Louisville/Jefferson County Metro Government 
 
Performance measures  Total for 2017 
Total number of active SMP team members  152 
Total number of SMP team member hours  11,863 
Number of group outreach and education events  419 
Estimated number of people reached through group outreach and education events  13,863 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,506 
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  $4,015 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $4,015 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $293,854 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                42   
 
 
Louisiana  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  80 
Total number of SMP team member hours  3,322 
Number of group outreach and education events  236 
Estimated number of people reached through group outreach and education events  49,922 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  163 
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*  $17,109,440 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $839 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $839 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $282,464 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                43   
 
 
Maine  Maine Department of Health and Human Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  134 
Total number of SMP team member hours  13,633 
Number of group outreach and education events  529 
Estimated number of people reached through group outreach and education events  29,428 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,209 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $258,753 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                44   
 
Maryland  Maryland Department of Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  196 
Total number of SMP team member hours  6,601 
Number of group outreach and education events  385 
Estimated number of people reached through group outreach and education events  14,784 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  18,288 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $863 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $287,856 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                45   
 
 
Massachusetts  Elder Services of the Merrimack Valley, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  100 
Total number of SMP team member hours  9,330 
Number of group outreach and education events  159 
Estimated number of people reached through group outreach and education events  14,507 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  140 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $4,082 
Expected Medicare recoveries attributable to the project  $1,947 
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)  $497 
Total savings attributable to the project  $2,444 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $301,916 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                46   
 
 
Michigan  MMAP, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  836 
Total number of SMP team member hours  19,520 
Number of group outreach and education events  753 
Estimated number of people reached through group outreach and education events  86,687 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  9,024 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $339,241 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                47   
 
Minnesota  Minnesota Board on Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  131 
Total number of SMP team member hours  3,701 
Number of group outreach and education events  287 
Estimated number of people reached through group outreach and education events  207,095 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,506 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $289,560 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                48   
 
Mississippi  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  32 
Total number of SMP team member hours  5,411 
Number of group outreach and education events  142 
Estimated number of people reached through group outreach and education events  42,638 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  121 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $273,032 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                49   
 
 
Missouri  District III Area Agency on Aging 
 
Performance measures  Total for 2017 
Total number of active SMP team members  113 
Total number of SMP team member hours  4,841 
Number of group outreach and education events  2,050 
Estimated number of people reached through group outreach and education events  95,834 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,105 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $301,736 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                50   
 
Montana  Missoula Aging Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  93 
Total number of SMP team member hours  3,261 
Number of group outreach and education events  575 
Estimated number of people reached through group outreach and education events  17,169 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  809 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $252,764 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                51   
 
 
Nebraska  Nebraska Department of Insurance 
 
Performance measures  Total for 2017 
Total number of active SMP team members  152 
Total number of SMP team member hours  2,421 
Number of group outreach and education events  380 
Estimated number of people reached through group outreach and education events  14,867 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,233 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $258,588 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                52   
 
 
Nevada  Nevada Aging and Disability Service Division 
 
Performance measures  Total for 2017 
Total number of active SMP team members  84 
Total number of SMP team member hours  10,418 
Number of group outreach and education events  370 
Estimated number of people reached through group outreach and education events  13,533 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,000 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $78 
Expected Medicare recoveries attributable to the project  $2,005,088 
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  $176 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $2,005,264 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $263,710 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                53   
 
New Hampshire  Department of Health and Human Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  32 
Total number of SMP team member hours  2,153 
Number of group outreach and education events  375 
Estimated number of people reached through group outreach and education events  8,471 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  3,547 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $255,674 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                54   
 
New Jersey  Jewish Family & Vocational Service of Middlesex County 
 
Performance measures  Total for 2017 
Total number of active SMP team members  66 
Total number of SMP team member hours  5,795 
Number of group outreach and education events  241 
Estimated number of people reached through group outreach and education events  10,124 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  575 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $51,736 
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  $28,856 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $28,856 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $313,950 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                55   
 
 
 
New Mexico  New Mexico Aging and Long Term Services Department 
 
Performance measures  Total for 2017 
Total number of active SMP team members  29 
Total number of SMP team member hours  9,403 
Number of group outreach and education events  649 
Estimated number of people reached through group outreach and education events  18,819 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  5,719 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $261,204 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                56   
 
 
New York  Services and Advocacy for GLBT Elders 
 
Performance measures  Total for 2017 
Total number of active SMP team members  105 
Total number of SMP team member hours  7,661 
Number of group outreach and education events  423 
Estimated number of people reached through group outreach and education events  26,326 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  445 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $624 
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  $624 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $409,470 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                57   
 
 
North Carolina  North Carolina Department of Insurance 
 
Performance measures  Total for 2017 
Total number of active SMP team members  128 
Total number of SMP team member hours  6,730 
Number of group outreach and education events  345 
Estimated number of people reached through group outreach and education events  38,403 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,219 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $334,467 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                58   
 
North Dakota  Minot State University 
 
Performance measures  Total for 2017 
Total number of active SMP team members  93 
Total number of SMP team member hours  5,080 
Number of group outreach and education events  703 
Estimated number of people reached through group outreach and education events  19,455 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  129 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $248,060 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                59   
 
 
Ohio  Pro Seniors, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  87 
Total number of SMP team member hours  5,571 
Number of group outreach and education events  247 
Estimated number of people reached through group outreach and education events  16,188 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  66 
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  $843 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $843 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $351,937 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                60   
 
Oklahoma  Oklahoma Insurance Department 
 
Performance measures  Total for 2017 
Total number of active SMP team members  56 
Total number of SMP team member hours  3,429 
Number of group outreach and education events  572 
Estimated number of people reached through group outreach and education events  29,148 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  319 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $277,927 
 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                61   
 
Oregon  Department of Human Services, Office of Financial Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  228 
Total number of SMP team member hours  5,110 
Number of group outreach and education events  269 
Estimated number of people reached through group outreach and education events  14,544 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  10,409 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $280,510 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                62   
 
 
Pennsylvania  Center for Advocacy for the Rights and Interests of the Elderly 
 
Performance measures  Total for 2017 
Total number of active SMP team members  44 
Total number of SMP team member hours  6,688 
Number of group outreach and education events  256 
Estimated number of people reached through group outreach and education events  9,516 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  669 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $2,986 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $370,944 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                63   
 
 
Puerto Rico  Ombudsman Office for the Elderly 
 
Performance measures  Total for 2017 
Total number of active SMP team members  0 
Total number of SMP team member hours  0 
Number of group outreach and education events  0 
Estimated number of people reached through group outreach and education events  0 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  0 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $279,926 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                64   
 
 
Rhode Island  Rhode Island Department of Elderly Affairs 
 
Performance measures  Total for 2017 
Total number of active SMP team members  82 
Total number of SMP team member hours  8,305 
Number of group outreach and education events  369 
Estimated number of people reached through group outreach and education events  12,074 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  8,534 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $117 
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  $117 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $251,516 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                65   
 
 
South Carolina  South Carolina Office of Lieutenant Governor 
 
Performance measures  Total for 2017 
Total number of active SMP team members  22 
Total number of SMP team member hours  4,902 
Number of group outreach and education events  331 
Estimated number of people reached through group outreach and education events  22,619 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  6,095 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $290,126 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                66   
 
 
South Dakota  South Dakota Department of Social Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  103 
Total number of SMP team member hours  8,871 
Number of group outreach and education events  219 
Estimated number of people reached through group outreach and education events  18,284 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,775 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $250,192 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                67   
 
 
Tennessee  Upper Cumberland Development District 
 
Performance measures  Total for 2017 
Total number of active SMP team members  432 
Total number of SMP team member hours  24,870 
Number of group outreach and education events  1,304 
Estimated number of people reached through group outreach and education events  101,276 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  27,885 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $62,132 
Expected Medicare recoveries attributable to the project  $305 
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  $425 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $730 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $306,821 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                68   
 
 
Texas  Better Business Bureau Educational Foundation 
 
Performance measures  Total for 2017 
Total number of active SMP team members  164 
Total number of SMP team member hours  6,026 
Number of group outreach and education events  827 
Estimated number of people reached through group outreach and education events  36,377 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  673 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $424,853 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                69   
 
 
Utah  Utah Department of Human Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  139 
Total number of SMP team member hours  14,351 
Number of group outreach and education events  1,143 
Estimated number of people reached through group outreach and education events  45,178 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  13,739 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $15,223 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $416 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $416 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $259,260 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                70   
 
 
Vermont  Community of Vermont Elders 
 
Performance measures  Total for 2017 
Total number of active SMP team members  31 
Total number of SMP team member hours  4,161 
Number of group outreach and education events  88 
Estimated number of people reached through group outreach and education events  1,952 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  36 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $249,017 
 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                71   
 
 
Virginia  Virginia Association of Area Agencies on Aging, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  80 
Total number of SMP team member hours  9,085 
Number of group outreach and education events  507 
Estimated number of people reached through group outreach and education events  29,669 
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 that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $311,471 
 
 
 
 
 
 
 
 
 
Memorandum Report:  2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)                72   
 
 
Washington  Washington State Office of the Insurance Commissioner 
 
Performance measures  Total for 2017 
Total number of active SMP team members  51 
Total number of SMP team member hours  5,148 
Number of group outreach and education events  935 
Estimated number of people reached through group outreach and education events  20,802 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  7,122 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $301,585 
 
 
 
 
 
 
 
 
 
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West Virginia  West Virginia Bureau of Senior Services 
 
Performance measures  Total for 2017 
Total number of active SMP team members  56 
Total number of SMP team member hours  5,772 
Number of group outreach and education events  692 
Estimated number of people reached through group outreach and education events  30,961 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  2,657 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $0 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $264,728 
 
 
 
 
 
 
 
 
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Wisconsin  eQHealth Solutions, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  48 
Total number of SMP team member hours  6,281 
Number of group outreach and education events  183 
Estimated number of people reached through group outreach and education events  44,354 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  187 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $384 
Expected Medicare recoveries attributable to the project  $0 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $0 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $0 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $297,098 
 
 
 
 
 
 
 
 
 
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Wyoming  Wyoming Senior Citizens, Inc. 
 
Performance measures  Total for 2017 
Total number of active SMP team members  68 
Total number of SMP team member hours  4,225 
Number of group outreach and education events  112 
Estimated number of people reached through group outreach and education events  5,917 
Number of individual interactions with, or on behalf of, a Medicare beneficiary  4,514 
Cost avoidance on behalf of Medicare, Medicaid, beneficiaries, or others  $16,359 
Expected Medicare recoveries attributable to the project  $104 
Additional expected Medicare recoveries attributable to the project*  $0 
Expected Medicaid recoveries attributable to the project  $0 
Additional expected Medicaid recoveries attributable to the project*  $0 
Savings to beneficiaries attributable to the project  $6,533 
Other savings attributable to the project (e.g., savings to supplemental insurance)  $0 
Total savings attributable to the project  $6,637 
* Additional expected recoveries are expected recoveries from cases in which the SMP projects were minimally involved, as distinguished from 
referrals that led to the opening of an investigation or from meaningful contributions to an existing investigation by an SMP project. 
 
Grant Total: $246,845 
 
 
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APPENDIX F 
Definitions of Performance Measures 
Total number of active SMP  Individuals who spent any time on the SMP program, including those paid by 
team members  the SMP program, those paid in kind, and volunteer team members. 
Hours contributed by team members while performing SMP work and receiving 
Total number of SMP team 
training to perform SMP work, including time spent by team members paid by 
member hours 
the SMP program, team members paid in kind, and volunteer team members. 
Community outreach events, education activities, and presentations to educate 
Number of group outreach 
beneficiaries, family members, caregivers, and others about SMP services and 
and education events 
detecting health care fraud, errors, and abuse. 
Estimated number of people  Total estimated number of people reached as a result of SMP group outreach 
reached through group  and education activities. 
outreach and education events 
Number of individual  Individual interactions between SMP team members and beneficiaries, family 
interactions with, or on behalf  members, caregivers, or others for the purpose of discussing or gathering 
of, a Medicare beneficiary  information about potential health care fraud, errors, or abuse. 
Cost avoidance on behalf of  Health care expenditures for which the Government, a beneficiary, or other 
Medicare, Medicaid,  entity (e.g., secondary health insurer or a pharmacy) was relieved of 
beneficiaries, or others  responsibility for payment as a result of the SMP project. 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
Expected Medicare recoveries  upon to be returned to Medicare, and may not reflect actual collections.  
attributable to the projects  Recoveries may also involve cases that include participation by a Medicare 
contractor or a law enforcement agency.  This measure includes recoveries 
from referrals that led to the opening of an investigation or from meaningful 
contributions to an existing investigation by an SMP project. 
This amount represents actual and expected Medicare recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
Additional expected Medicare  upon to be returned to Medicare, and may not reflect actual 
recoveries attributable to the  collections.  Recoveries may also involve cases that include participation by 
projects  a Medicare contractor or a law enforcement agency.  This measure includes 
recoveries from referrals that validated information in an existing investigation. 
This measure aims to capture additional recoveries in which the SMP project 
was minimally involved. 
 
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Definitions of Performance Measures (continued)  
This amount represents actual and expected Medicaid recoveries from criminal 
actions, settlements, civil judgments, or overpayments that resulted from the 
referral.  This applies to the amount of money that was ordered or agreed 
Expected Medicaid recoveries  upon to be returned to Medicaid, and may not reflect actual collections.  
attributable to the projects  Recoveries may also involve cases that include participation by a Medicaid 
Fraud Control Unit or a law enforcement agency.  This measure includes 
recoveries from referrals that led to the opening of an investigation or from 
meaningful contributions to an existing investigation by an SMP project. 
This amount represents actual and expected Medicaid recoveries are from 
criminal actions, settlements, civil judgments, or overpayments that resulted 
from the referral.  This applies to the amount of money that was ordered or 
Additional expected Medicaid  agreed upon to be returned to Medicaid, and may not reflect actual 
recoveries attributable to the  collections.  Recoveries may also involve cases that include participation by 
projects  a Medicaid contractor or a law enforcement agency.  This measure includes 
recoveries from referrals that validated information in an existing investigation. 
This measure aims to capture additional recoveries in which the SMP project 
was minimally involved. 
Savings to beneficiaries  Money saved by or recouped to an individual as a result of the SMP project 
attributable to the projects  (e.g., copayments, deductibles, or any other out-of-pocket expenses). 
Other savings attributable to  Money saved or recouped to an entity other than Medicare, Medicaid, or 
the projects (e.g., savings to  a beneficiary (e.g., a secondary health insurer) as a result of the SMP project. 
supplemental insurance) 
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