In a previous review, OIG determined that CMS had recovered the majority of Medicaid overpayments that we had identified in audit reports issued during Federal fiscal years (FYs) 2000 through 2009. However, millions of dollars remained uncollected at the time we issued our report. We performed the current audit as a followup to the previous audit to determine whether CMS recovered Medicaid overpayments for a more recent period, as well as remaining overpayments in the previous audit. Our objective was to determine whether CMS recovered overpayments identified in OIG audit reports in accordance with Federal requirements.
Open Recommendations
Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
---|---|---|---|---|---|
266199 | Yes | $0 | $0 | ||
CMS should develop policies and procedures to improve the timeliness of recovering Medicaid overpayments, and recover uncollected amounts identified during OIG’s audit. | |||||
266200 | No | $0 | $0 | ||
Verify that future overpayments are reported correctly on Line 10 of the CMS-64 | |||||
266197 | No | $0 | $0 | ||
Recover the remaining $1,644,235,438 due the Federal Government from the current period | |||||
266201 | No | $0 | $0 | ||
Require states to submit corrected CMS-64s to identify recovered overpayments on Line 10 when done incorrectly | |||||
266198 | No | $0 | $0 | ||
Recover the remaining $188,593,212 due the Federal Government from the prior period | |||||
266202 | No | $0 | $0 | ||
Continue to educate the States about their responsibility to report overpayments on the correct line of the CMS-64 to improve oversight of the reporting process |