The Virginia SMP is administered by the Virginia Association of Area Agencies on Aging in partnership with the local Area Agencies on Aging in Virginia. For a complete listing of the Area Agencies on Aging and the areas served by Virginia’s Area Agencies on Aging visit www.vaaaa.org or call 1-804-644-2804.
Virginia SMP has the support of many federal, statewide and regional partners to help provide education, outreach and report health care fraud, abuse and error. Partners include:
- Virginia Department for the Aging - The Virginia Department for the Aging is responsible for planning, coordinating and evaluating programs and services funded through the Older Americans Act or the Virginia General Assembly. The Department assists in the development of state laws and policies that improve the lives of older Virginians by helping them maintain their independence at home.
A network of 25 local Area Agencies on Aging plans, coordinates, and administers programs and services in planning and service areas throughout Virginia. Visit www.vda.virginia.gov or call 1-800-552-3402.
- Virginia Insurance Counseling Assistance Program (VICAP) - Virginia’s State Health Information Program is called VICAP. Volunteers and Area Agency on Aging staff are trained to assist older Virginians with Medicare and other types of health insurance, medical bills and patients’ rights issues such as grievances and appeals. Call 1-800-552-3402 to find out the Area Agency on Aging areas in Virginia or visit www.vda.virginia.gov.
- State Corporation Commission (SCC) Virginia Bureau of Insurance – The SCC Bureau of Insurance will assist consumers with complaints against insurance agents and advise if an insurance company is licensed in Virginia. Visit www.scc.virginia.gov or call toll-free 1-877-310-6560.
- Office of the Attorney General – enforces state and federal consumer protection laws related to things like identity theft, consumer fraud and telemarketing scams, and enforce laws that protect businesses and consumers from behavior that defeats healthy competition.
- TRIAD – is a crime-fighting partnership between police, sheriffs and seniors. There are 226 TRIAD chapters throughout Virginia. A major purpose of TRIAD is to develop, expand and implement effective crime prevention and education programs for older Virginians. Visit their website. You may email TRIAD at email@example.com or call 804-786-9516.
- Medicaid Fraud Control Unit (MFCU) – The Virginia Attorney General’s MFCU investigates allegations of fraud by medical providers receiving payment from the Commonwealth’s Medical Assistance Program (Medicaid). The Unit also investigates allegations of abuse or neglect of elderly and incapacitated adults receiving benefits through the Medicaid program. Visit www.oag.state.va.us or call 1-800-371-0824.
- Office of the State Long Term Care Ombudsman Program – The State Ombudsman office provides information about local ombudsmen programs throughout Virginia. The Ombudsman program receives, investigates, and resolves complaints made by or on behalf of persons residing in nursing homes, assisted living facilities and in community-based long term care services. Visit www.vaaaa.org or call toll-free 1-800-552-3402.
- Virginia Health Quality Center (VHQC) – VHQC can assist Medicare recipients with questionable non-coverage notices and the reporting of inappropriate or poor care. Visit www.VHQC.org or call the VHQC’s Medicare Beneficiary Helpline number at 1-800-545-3814.
- Senior Navigator - provides an online database of over 21,000 health and aging resources both private and public- to seniors, caregivers, and adults with disabilities. SeniorNavigator works with a volunteer network that brings the information on the website to those persons without computer or internet access. Visit www.seniornavigator.org or call toll-free 1-800-393-0957.
- Easy Access – Virginia Easy Access is the name of a portal developed for seniors, adults with disabilities, their caregivers and the providers that support them. Virginia Easy Access is full of helpful information about services and supports that are available across the Commonwealth. Virginia Easy Access is the gateway to the VirginiaNavigator provider database. The provider database will help people find local services and supports. Visit www.easyaccess.virginia.gov.
Some National Resources:
- Center for Medicare Advocacy – The center works to advance fair access to comprehensive Medicare coverage and quality health care for older people and people with disabilities by providing the highest analysis, education and advocacy. Visit www.medicareadvocacy.org or call 202-293-5760.
- The Medicare Rights Center – is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and persons with disabilities through counseling and advocacy, educational programs and public policy initiatives. Visit www.medicarerights.org or call 202-637-0961. Consumer hotline number is 1-800-333-4114.
- Centers for Medicare and Medicaid Services (CMS) – is the United States Department of Health and Human Services agency responsible for a administering Medicare, Medicaid and several other health-related programs. Visit www.cms.gov.
- Federal Trade Commission (FTC) – The FTC pursues vigorous and effective law enforcement and advances consumers’ interests by sharing its expertise with federal and state legislatures and U.S. And international agencies. Visit www.ftc.gov or contact 202-326-2222.
- National Hispanic Council on Aging (NHCOA) – The NHCOA is a non-profit organization that advocates on behalf of Hispanic older adults. Visit www.nhcoa.org.
- Medicare - Visit the official U.S. Government Site for Medicare information. Includes information about the parts of Medicare, How to Compare Plans, What’s New with Medicare, and How to Navigate the Medicare System and get Medicare questions answered. Visit www.medicare.gov. Or call 1-800-MEDICARE at 1-800-633-4227.
- Nursing Home Care – Also under www.medicare.gov is Nursing Home Compare, an online tool to help you find nursing homes in your area and compare the quality of the nursing homes you are considering, using the Five-Star Quality Ratings, health inspection results, nursing home staff data, quality measures, and fire safety inspection results. Quality Care Finder – allows you to find and compare Hospitals, Nursing Homes, Physicians; Health and Drug Plans; Equipment Supplies and More.
- Stop Medicare Fraud -www.stopmedicarefraud.gov – A website sponsored by the U.S. Department of Health and Human Services and the U.S. Department of Justice. Includes a map to search for fraud news by state. Visit www.stopmedicarefraud.gov.
- Better Business Bureau - offers consumers and businesses resources, including business and charity reviews, complaints involving businesses – online and offline, BBB Accredited and non-accredited Businesses, charities and non-profit organizations. Visit www.bbb.org.