The North Dakota Department of Human Services' (State agency) claims for Medicaid reimbursement for Targeted Case Management (TCM) services provided and paid for during Federal fiscal years (FYs) 2013 and 2014 were not always in accordance with Federal requirements. Specifically, the State agency claimed at least $349,000 (Federal share) of unallowable Medicaid reimbursement and an estimated $862,000 (Federal share) of potentially unallowable Medicaid reimbursement for TCM services during this period. These errors occurred because the State agency did not have adequate policies and procedures in place to ensure that the TCM services it claimed were allowable for Medicaid reimbursement in accordance with Federal requirements.
ND
United States
