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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-07-22-03253
Report Type
Audit
Location

AL
United States

Number of Recommendations
2
Questioned Costs
$5,039,433
Funds for Better Use
$0

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
24-A-07-060.01 No $0 $0

We recommend that the Alabama Medicaid Agency refund to the Federal government $5,039,433 (Federal Share) in overpayments.

24-A-07-060.02 No $0 $0

We recommend that the Alabama Medicaid Agency improve TCM program oversight by giving additional guidance to TCM providers regarding: billing of services, to verify that they are allowable and nonduplicative; case manager hiring practices, to verify adherence with the State plan's qualification requirements; target group eligibility screening processes, so that only eligible individuals receive TCM services; and the maintenance of supporting documentation for billed services.

Department of Health & Human Services OIG

United States