Submitting OIG:
Report Description:
Previous Office of Inspector General reviews identified Federal Medicaid reimbursement for managed care payments that were not claimed in compliance with Federal requirements. Specifically, some beneficiaries enrolled in Medicaid managed care had more than one Medicaid identification (ID) number. As a result, Medicaid managed care organizations (MCOs) received unallowable monthly Medicaid payments for these beneficiaries.
Date Issued:
Tuesday, October 29, 2019
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-18-07079
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
State of Tennessee
Location(s):
TN
United StatesType of Report:
Audit
Questioned Costs:
$378,137
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41807079.pdf | 2.5 MB |
Additional Details Link: