Submitting OIG:
Report Description:
The Texas Health and Human Services Commission did not always claim Federal Medicaid reimbursement for managed care payments in compliance with Federal requirements. Of the 3,170 beneficiary matches in our review, 3,045 were assigned more than 1 Medicaid identification number. As a result, the State agency improperly claimed $6.5 million ($3.8 million Federal share) for managed care payments that did not comply with Federal requirements.
Date Issued:
Wednesday, March 1, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-15-00024
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
TX
United StatesType of Report:
Audit
Questioned Costs:
$3,843,339
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
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Additional Details Link: