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-06-16-05004
Report Description
Texas Medicaid did not always stop making capitation payments after a beneficiary's death, despite its efforts to identify and recover any unallowable payments. Specifically, Texas Medicaid paid managed care organizations $1.8 million ($1 million Federal share) for capitation payments between January 1, 2013, and December 31, 2015, for deceased beneficiaries.
Report Type
Audit
Location
TX
United States
Number of Recommendations
4
Questioned Costs
$1,038,875
Funds for Better Use
$0
Additional Details
