Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-02-14-01008
Report Description
The New Jersey Department of Human Services (State agency) claimed Federal Medicaid reimbursement for some Global Options for Long-Term Care (GO-LTC) waiver services that did not comply with certain Federal and State requirements. Of the 131 beneficiary-months in our sample, the State agency properly claimed Medicaid reimbursement for all GO-LTC waiver services during 69 beneficiary-months. However, the State agency claimed Medicaid reimbursement for unallowable GO-LTC waiver services during the remaining 62 beneficiary-months. Of the 62 beneficiary-months with services for which the State agency improperly claimed Federal Medicaid reimbursement, 29 contained more than 1 deficiency.
Report Type
Audit
Location
NJ
United States
Number of Recommendations
2
Questioned Costs
$47,355,736
Funds for Better Use
$0
Additional Details
