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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-04-16-04054
Report Description

States must make medical assistance available for Medicare deductibles, coinsurance, and copayments (cost-sharing) for certain individuals who are dually eligible to be enrolled in both Medicare and Medicaid.

Report Type
Audit
Location

NC
United States

Number of Recommendations
2
Questioned Costs
$41,188,318
Additional Details
https://oig.hhs.gov/oas/reports/region4/41604054.asp

Open Recommendations

This report has 1 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
261302 No $41,188,318 $0

We recommended that the State agency refund $41,188,318 to the Federal Government for cost-sharing payments for professional medical services that did not comply with Federal and State requirements.

Department of Health & Human Services OIG

United States