Do Not Pay

Medicaid Screening Service

April 2023
Medicaid Screening Service – Benefits

The Medicaid Screening Service provides an analysis of your Medicaid 

clients, allowing you to prevent and recover improper payments.

Identify deceased clients and cease Managed Care 

payments for ineligible clients

Identify any quality or integrity issues within your 

data such as duplicate or invalid SSNs

Continually screen clients at a frequency that suits your 

needs for timely case development

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Medicaid Screening Service – Process

DNP

Will:

Medicaid 

Office 

Will:

INTAKE MEETING GOVERNANCE TRANSFER DATA EXECUTION ADJUDICATE GIVE FEEDBACK

Schedule an 

Intake 

Discussion

We will discuss the 

scope, type of data

you will provide, 

and how we will 

transfer data back

and forth

Create Project 

Governance 

Governance documents 

how your data will be 

used, to whom it can be 

disclosed, and legal 

considerations for how

results can be used

Begin Project 

Execution

A team of highly skilled 

data scientists will

analyze your client list 

and provide you with 

actionable results

Gather Team for Intake 

Discussion

Include staff from your 

office who are familiar with 

payment process, your

data, and case 

development process

Transfer Data Safely to 

DNP

Data can be in our file 

format, your existing PARIS

file (our system is designed 

to accept these very

quickly), or your own custom 

format

Provide Feedback

to DNP

You will send DNP 

results of your 

adjudication using

our easy, streamlined 

results file

Adjudicate the Results 

Your office can stop 

coverage for ineligible 

clients, recover past 

improper payments, and 

remediate any quality or 

integrity issues

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Gather Team for

Intake Discussion 

Include staff from your 

office who are familiar 

with payment process, 

your data, and case 

development process

Schedule an

Intake Discussion

We will discuss the Create Project Governance

scope, type of data Governance documents how

you will provide, your data will be used, to

and how we will whom it can be disclosed, and 

transfer data back legal considerations for how 

and forth results can be used

INTAKE MEETING GOVERNANCE TRANSFER DATA EXECUTION ADJUDICATE GIVE FEEDBACK FOLLOW-UP

Make Follow-up Analyses 

Available

DNP can repeat all or some of 

the analysis on a regular basis, 

as your business needs require

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Request Repeat Analysis 

You can decide to repeat this 

analysis monthly, quarterly, or 

annually based on your 

business needs

DNP

Will:

Medicaid 

Office 

Will:

Medicaid Screening Service – Process
Medicaid Screening Service Features

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Robust Death 

Screening

• DNP will match your clients data with DNP death data, including 

validation through state-wide vital statistics records

• DNP will provide a level of confidence based on our trained 

algorithms

Data Quality 

and Integrity

• DNP will identify clients with suspicious Social Security 

Numbers (SSNs)

• DNP will identify clients whose attributes (name, SSNs) are 

shared with others in your data

Other Custom 

Needs

• DNP continuously add new functionalities and can customize 

the results to meet your needs

FUTURE:

Dual Enrollment

• DNP will be able match your client list to other participating 

states’ lists to identify improper overlap
Contact Us!

Are you interested in screening your clients with the 

Do Not Pay Medicaid Screening Service?

Contact Us!

Jon Ortiz

Team Lead, Outreach and Business Processes 

202-874-9579

Jon.Ortiz@fiscal.treasury.gov

For more information, visit our website:

https://www.fiscal.treasury.gov/DNP/States.html

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