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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-05-17-00049
Report Description

We estimated that Minnesota made unallowable capitation payments totaling at least $3.7 million ($3.2 million Federal share) to MCOs on behalf of deceased beneficiaries during our audit period. Of the 100 capitation payments in our random sample, Minnesota made 95 unallowable payments totaling $62,665 ($55,932 Federal share).

Report Type
Audit
Location

MN
United States

Additional Details
https://oig.hhs.gov/oas/reports/region5/51700049.asp
External Entity
The Minnesota State Medicaid Agency

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
267503 No $3,243,531 $0

We recommend that the Minnesota Department of Human Services refund $3,243,531 to the Federal Government

267505 No $0 $0

We recommend that the Minnesota Department of 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

267507 No $0 $0

We recommend that the Minnesota Department of Human Services utilize additional sources to identify dates of death to help reduce unallowable payments

Department of Health & Human Services OIG

United States