NAMPI Member Portal | Ann Kaperak | Activity https://member.nampi.net/members/ann-kaperakahca-myflorida-com/activity/ Activity feed for Ann Kaperak. Fri, 24 Apr 2026 17:30:22 -0400 https://buddypress.org/?v=2.14.4 en-US 30 hourly 2 6e8f413b02ad2b0bccfb5fbf715cbb14 Ann Kaperak replied to the discussion MCO Benchmarks in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/mco-benchmarks/#post-1760 Fri, 14 Oct 2022 19:06:17 -0400 Reply to MCO Benchmarks

Hi Kari! We have one right now and are considering others. Please see the attached. I think it explains it pretty well and we use it on a fiscal year basis (July 1 to June 30). It centers around reporting fraud to our MFCU partners. It is based on 3 factors, recipient enrollment, capitation and provider numbers. On the document, the PNV is…

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]]> 9609adae8d55b11be6056a520ca1547c Ann Kaperak replied to the discussion MCO Contracts and Program Integrity in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/mco-contracts-and-program-integrity/#post-1739 Fri, 19 Aug 2022 12:11:39 -0400 Reply to MCO Contracts and Program Integrity

Florida’s core contract is attached. I bookmarked the Compliance, Fraud/Abuse, Sanctions, and Liquidated Damages sections. Please reach out by email to me if you have any questions. I am happy to answer any of them.

]]> 920b49efd6aa7acf3a220c8e67626713 Ann Kaperak replied to the discussion Preclusion list in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/preclusion-list/#post-1641 Tue, 17 May 2022 19:24:44 -0400 Reply to Preclusion list

Dawn – this is something a few of our Medicaid health plans do. I cannot speak to this prevention practice as whole though for our state.

]]> 7d5b5b11572f0d6d2a95c4bb69e0b03a Ann Kaperak replied to the discussion OIG/PI Unit Composition in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/oig-pi-unit-composition/#post-1637 Tue, 17 May 2022 17:44:07 -0400 Reply to OIG/PI Unit Composition

1. Number of managed
care recipients. – 4,197,317 (as of March ’22)

2. Number of
fee-for-service recipients. – 1,109,750 (as of
March ’22)

3. Number of MCOs. – 11 Managed Medical
Assistance and LTC/LTSS, 5 of the same 11 also have managed care contracts to provide specialty care related to HIV/Aids, Serious Mental Illness, Child Welfare, etc.…

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]]> 676ae2ab531830cbdf271be1c18a1c1c Ann Kaperak replied to the discussion OIG/PI Unit Composition in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/oig-pi-unit-composition/#post-1636 Tue, 17 May 2022 17:36:17 -0400 Reply to OIG/PI Unit Composition

Give me just a few minutes and I will answer for Florida.

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