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Program History
In 1995, the Administration on Aging (AoA) became a partner in a government-led effort to fight fraud, error and abuse in the Medicare and Medicaid programs through the implementation of a ground-breaking demonstration project called Operation Restore Trust (ORT).
ORT’s purpose is to coordinate and target federal, state, local and private resources on those areas most plagued by abuse. Operation Restore Trust was announced at the 1995 White House Conference on Aging.
During its demonstration phase, ORT has returned $23 for every $1 spent looking at the fastest growing areas of Medicare, including home health care, skilled nursing facilities, and providers of durable medical equipment.
This comprehensive anti-fraud initiative began in five states--California, Florida, Illinois, New York and Texas. It has created a partnership in the Department of Health and Human Services between the Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration), the Office of Inspector General, and the Administration on Aging which are working as a team to carry out ORT.
Other critical partners in this effort include the U.S. Department of Justice, state Medicaid agencies, state survey and certification agencies, Medicare contractors, State and Area Agencies on Aging, and other members of AoA's national aging network, including long-term care ombudsman.
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