Submitting OIG:
Report Description:
Ohio made capitation payments totaling $90.5 million on behalf of deceased beneficiaries. We confirmed that all beneficiaries associated with the 100 capitation payments in our stratified random sample were deceased. Ohio properly recovered 37 of these capitation payments. However, Ohio did not recover the remaining 63 capitation payments totaling $74,495 ($51,431 Federal share). On the basis of our sample results, we estimated that Ohio did not recover unallowable payments to Medicaid Managed Care Organizations totaling at least $51.3 million ($38 million Federal share) during our audit period.
Date Issued:
Wednesday, October 24, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-05-17-00008
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
Agency-Wide
Type of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
0
View Document:
Attachment | Size |
---|---|
51700008.pdf | 695.12 KB |
Additional Details Link: