Submitting OIG:
Report Description:
The Florida Agency for Health Care Administration (State agency) did not always suspend Medicaid payments to providers that had credible fraud allegation cases in accordance with the Social Security Act. Of the 95 cases that we reviewed, the State agency applied a good-cause exception not to suspend payments for 1 case; and it either suspended, pursued recovery, or otherwise did not make Medicaid payments to providers related to 40 other cases.
Date Issued:
Thursday, April 20, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-14-07046
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
FL
United StatesType of Report:
Audit
Questioned Costs:
$8,293,517
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
41407046.pdf | 3.25 MB |
Additional Details Link: