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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-05-17-00013
Report Description

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.

Report Type
Audit
Agency Wide
Yes

Open Recommendations

This report has 6 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

Department of Health & Human Services OIG

United States