Missouri Claimed Unallowable Medicaid Payments for Individualized Supported Living Habilitation Services 

The Missouri Department of Social Services, Missouri HealthNet Division's (State agency) Medicaid payment rates for individualized supporting living (ISL) habilitation services provided and paid for during State fiscal years 2011 through 2013 were not always in accordance with Federal requirements. Specifically, the State agency included costs that were not approved in some of its payment rates for ISL habilitation services. In addition, the State agency included unallowable costs in some of its payment rates for these services. Because these unapproved and unallowable costs were prohibited under Federal requirements, the associated payments were unallowable.