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-04-15-04037
Report Description
The North Carolina Department of Health and Human Services (State agency) claimed Federal Medicaid reimbursement for some nonemergency medical transportation (NEMT) services that did not comply with Federal or State requirements. Of the 200 sample items, 82 complied with Federal and State requirements, but 118 did not. Of the 118 items, 48 contained more than 1 deficiency. On the basis of our sample results, we estimated that the State agency improperly claimed at least $18.7 million ($12 million Federal share) for unallowable NEMT services for the audit period.
Report Type
Audit
Location
NC
United States
Number of Recommendations
6
Questioned Costs
$15,132,772
Funds for Better Use
$0
Additional Details
