Submitting OIG:
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.
Date Issued:
Wednesday, February 24, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-02-14-01008
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
NJ
United StatesType of Report:
Audit
Questioned Costs:
$47,355,736
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
21401008.pdf | 1.21 MB |
Additional Details Link: