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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-04-16-06191
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.

Report Type
Audit
Location

SC
United States

Number of Recommendations
0
Questioned Costs
$0
Funds for Better Use
$0

Department of Health & Human Services OIG

United States