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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-05-17-00048
Report Description

Previous OIG audits found that States had improperly paid Medicaid managed care organizations capitation payments on behalf of deceased beneficiaries. We conducted a similar audit of those payments in Michigan.

Report Type
Audit
Location

MI
United States

Number of Recommendations
5
Questioned Costs
$27,545,800
Funds for Better Use
$0
Additional Details
https://oig.hhs.gov/oas/reports/region5/51700048.asp
External Entity
State of Michigan

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
268243 No $27,545,800 $0

We recommend that the Michigan Department of Health and Human Services refund $27,545,800 to the Federal Government

268245 No $0 $0

We recommend that the Michigan Department of Health and Human Services identify capitation payments made on behalf of deceased beneficiaries before and after our audit period and repay the Federal share of amounts recovered

268244 No $0 $0

We recommend that the Michigan Department of Health and Human Services identify and recover unallowable payments made to managed care entities during our audit period on behalf of deceased beneficiaries, which we estimate to be at least $39,873,514

Department of Health & Human Services OIG

United States