Submitting OIG:
Report Description:
Federal regulations effective July 1, 2011, prohibit Medicaid payments for services related to treating provider-preventable conditions (PPCs). The Centers for Medicare & Medicaid Services delayed its enforcement of the regulations until July 1, 2012, to allow States time to develop and implement new payment policies. This review is part of a series of reviews of States to determine whether the States ensured that their Medicaid managed-care organizations (MCOs) complied with these regulations for inpatient hospital services.
Date Issued:
Monday, October 21, 2019
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-06-16-01001
External entity, if applicable:
State of Texas
Location(s):
TX
United StatesType of Report:
Audit
View Document:
Attachment | Size |
---|---|
61601001.pdf | 4.26 MB |
Additional Details Link: