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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-06-15-00045
Report Description

Texas did not always make increased Medicaid payments to providers and claim reimbursement in accordance with Federal requirements. Of the $721 million in Federal funds that it received, Texas inappropriately received $20.7 million because (1) it incorrectly claimed the 100-percent matching rate for payments that were only eligible for the regular matching rate and (2) it made payments that were unallowable.

Report Type
Audit
Location

TX
United States

Number of Recommendations
2
Questioned Costs
$20,714,957
Additional Details
https://oig.hhs.gov/oas/reports/region6/61500045.asp

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
263508 No $0 $0

We recommend that Texas work with the Centers for Medicare & Medicaid Services to determine the portion of the $1.1 million that it received for payments that exceeded providers’ billed charges should be refunded to the Federal Government.

263507 No $20,714,957 $0

We recommend that Texas refund $20.7 million to the Federal Government that it received for incorrectly claimed and unallowable payments.

Department of Health & Human Services OIG

United States