Delaware Fraud Control and Program Integrity

Qlarant used its proprietary advanced data analytics tool to assist the State of Delaware in evaluating its paid Medicaid claims to identify probable fraud and/or misuse of Medicaid dollars. Qlarant installed and trained Delaware Medicaid employees on the use of the predictive modeling software to allow independent research of Medicaid claims and the selection of potential candidates (provider and/or beneficiary) for investigation by the State. Qlarant also trained DE staff in medical review strategies.