Data Mining Applications
Data mining is the process of identifying fraud through the screening and analysis of data. On May 17, 2013, the Department of Health and Human Services (HHS) issued the final rule "State Medicaid Fraud Control Units; Data Mining" (78 Fed. Reg. 29055), codified at 42 CFR 1007.20(a). This rule permits Federal financial participation in costs of data mining if certain criteria are satisfied. MFCUs must submit data mining applications to OIG for approval. The following policy transmittal details the elements of a data mining application and how to submit and renew a data mining application.
OIG Approvals of Data Mining Applications
- Michigan (December 16, 2013)
- Most Recent Renewal (December 16, 2022)
- Missouri (January 16, 2014)
- Most Recent Renewal (January 16, 2023)
- Oklahoma (April 24, 2014)
- Most Recent Renewal (April 24, 2023)
- California (July 8, 2014)
- Most Recent Renewal (July 8, 2023)
- Louisiana (November 19, 2014)
- Most Recent Renewal (November 19, 2023)
- Indiana (December 10, 2015)
- Most Recent Renewal (November 15, 2024)
- Florida (June 20, 2016)
- Most Recent Renewal (June 20, 2022)
- New York (August 5, 2016)
- Most Recent Renewal (August 5, 2022)
- Rhode Island (December 12, 2016)
- Most Recent Renewal (December 12, 2022)
- New Mexico (May 11, 2017)
- Most Recent Renewal (May 11, 2023)
- West Virginia (August 11, 2017)
- Most Recent Renewal (August 11, 2023)
- North Carolina (November 13, 2017)
- Most Recent Renewal (November 13, 2023)
- Washington (November 13, 2017)
- Most Recent Renewal (November 13, 2023)
- New Jersey (March 27, 2018)
- Most Recent Renewal (March 27, 2024)
- Iowa (April 12, 2018)
- Most Recent Renewal (April 12, 2024)
- Pennsylvania (November 7, 2018)
- Most Recent Renewal (November 7, 2024)
- Oregon (April 22, 2019)
- Most Recent Renewal (April 22, 2022)
- Delaware (June 27, 2019)
- Most Recent Renewal (June 27, 2022)
- Wisconsin (September 4, 2019)
- Most Recent Renewal (September 4, 2022)
- Arkansas (June 15, 2020)
- Most Recent Renewal (June 15, 2023)
- Kansas (April 25, 2022)
- Utah (October 5, 2023)
- Texas (November 6, 2023)
- District of Columbia (March 15, 2024)
- Tennessee (June 7, 2024)
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