Submitting OIG:
Report Description:
The Medicaid Management Information Systems (MMIS) is an integrated group of procedures and computer processing operations designed to meet principal objectives, such as processing medical claims. States report costs related to private MMIS contract services as administrative costs.Generally, the Federal Government reimburses States 50 percent of their administrative costs; however, for certain approved MMIS costs, the Federal Government reimburses 90 percent or 75 percent. States are required to obtain prior approval in an Advanced Planning Document (APD) to receive the higher reimbursement rates.For Federal fiscal years 2013 through 2017, 10 States claimed more than 50 percent of the total costs related to private MMIS contract services. Arkansas ranked 8th highest.
Date Issued:
Wednesday, July 28, 2021
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-18-09002
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
AR,
United StatesType of Report:
Audit
Questioned Costs:
$4,361,850
Funds for Better Use:
$0
Number of Recommendations:
2