Division of Fraud, Waste And Abuse/Identification And Prevention
Stephanie Hold
Assistant Director
Phone (502) 564-5472
Fax (502) 564-3232
The Division of Fraud, Waste and Abuse/Identification and Prevention is responsible for planning, developing and directing agency efforts to identify and prevent fraud, waste and abuse in Medicaid and all other welfare programs administered by the Cabinet for Health and Family Services.
Division staff has special expertise in investigating and consulting with law enforcement to prevent the diversion of prescription controlled substances through the enhanced KASPER program, an online database that tracks and monitors prescription drug dispensation of controlled substances.
The division also verifies that Medicaid medical services are appropriate and rendered as billed, that services are provided by qualified providers to eligible recipients, that payments for those services are correct, including payments made by the appropriate payor (coordination of benefits) and that collection of appropriate payment for services is pursued.
The division monitors and enforces Medicaid and other program compliance on the part of providers and recipients. The division also focuses on third-party involvement including insurance carriers and other government health care payors and pharmaceutical manufacturers.
The division serves as the immediate liaison to the Cabinet's Medicaid and welfare program agencies and is the primary referral source to special investigative and enforcement functions within the Office of the Inspector General.
Staff also performs specialized recovery and cost avoidance functions, including monitoring Medicaid aged debts and accounts receivable and all third-party liability recovery and cost avoidance.
The division has three branches: Medicaid Provider and Third Party Compliance, Programs Enforcement and Drug Enforcement and Professional Practices.
 |
Drug Enforcement & Professional Practices Branch |
 |
Dave Sallengs, RPH
Branch Manager
Phone (502) 564-7985
Fax (502) 564-7468
Mission Statement
To protect citizens of the Commonwealth by diminishing the diversion of legal controlled substances and ensuring the high quality of patient care by administration of the KASPER program, investigating infractions of KRS 218A, licensing wholesalers and distributors of controlled substances and serving as consultants to law enforcement agencies on drug related issues.
|
Controlled Substances Applications and Forms |
|
DEB New License Application - to apply for a license to be a manufacturer or wholesaler of controlled substances
DEB License Update Form - to update information regarding your current license as a manufacturer or wholesaler of controlled substances
DEB License Renewal Application - to renew your current license as a manufacturer or wholesaler of controlled substances
|
eKASPER Overview |
|
|