![]() ![]() South-Eastern Jurisdiction UPIC Contractor: SafeGuard Services LLC (SGS) Northeastern States: Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New Your, Pennsylvania, New Jersey, Delaware, Maryland, and District of Columbia.Northeastern Jurisdiction UPIC Contractor: SafeGuard Services LLC (SGS) Midwestern States: Iowa, Illinois, Indiana, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, Ohio and Wisconsin.Mid-Western Jurisdiction UPIC Contractor: CoventBridge Group Southwestern States: Colorado, New Mexico, Oklahoma, Texas, Arkansas, Louisiana, and Mississippi.Southwestern Jurisdiction UPIC Contractor: Qlarant Western States: Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming.Western Jurisdiction UPIC Contractor: Qlarant The UPIC contracts operate in five (5) separate geographical jurisdictions in the United States and combine and integrate functions previously performed by the Zone Program Integrity Contractor (ZPIC), Program Safeguard Contractor (PSC) and Medicaid Integrity Contractor (MIC) contracts. The Medicare-Medicaid data match program (Medi-Medi).Home Health and Hospice (HH+H), Medicaid, and.Specifically, the UPIC’s perform integrity related activities associated with the following: UPICs perform fraud, waste, and abuse detection, deterrence and prevention activities for Medicare and Medicaid claims processed in the United States. However, as the UPICs are a recent addition to the acronym soup of Medicare Contractors (i.e., MAC, RAC, CERT, SMRC), I first want to provide you with background information about the UPIC Contractors. Transmittal specifics will be reviewed later in this article. ![]() Specifically, the Unified Program Integrity Contractors (UPICs) were inserted in several placed in this document. In June, CMS issued Transmittal 10184 (Change Request (CR) 11812), providing information about updates being made to the Medicare Program Integrity Manual. ![]()
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