Submitting OIG:
Report Description:
State Medicaid agencies (Medicaid agencies) are required to suspend payments for health care items and services when there is a credible allegation of fraud against the provider, unless "good cause" exists not to suspend payment. Using payment suspensions, when appropriate, is important to protect Medicaid funds: payment suspensions based on credible allegations of fraud can swiftly stop the flow of Medicaid dollars to providers defrauding Medicaid. A payment suspension can remain in place throughout the law enforcement investigation and potential prosecution of the health care fraud case.
Date Issued:
Tuesday, September 5, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
OEI-09-14-00020
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
1
View Document:
Attachment | Size |
---|---|
oei-09-14-00020.pdf | 1.58 MB |
Additional Details Link: