Submitting OIG:
Report Description:
South Carolina's Medicaid managed care program would not have saved any Medicaid funds in calendar year (CY) 2014 if the State agency had (1) required its Medicaid managed care plans to meet the minimum medical loss ratio (MLR) standard similar to the Federal standards for certain private health insurers and Medicare Advantage plans and (2) required remittances when Medicaid managed care plans did not meet the MLR standard. Specifically, all of the six managed care plans that we reviewed had MLRs greater than 85 percent (the minimum MLR standard for large private insurers) during CY 2014.
Date Issued:
Wednesday, December 21, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-16-06191
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
SC
United StatesType of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
0
View Document:
Attachment | Size |
---|---|
41305049.pdf | 132.5 KB |
Additional Details Link: