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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012
Wisconsin's Federal Medicaid withdrawals during FYs 2010 through 2012 did not fully comply with Federal and State regulations. The Wisconsin Department of Health Services (State agency) properly withdrew $13.6 billion of the $13.7 billion obtained in Federal Medicaid funds. However, the State agency inappropriately withdrew the difference of $89.6 million to pay for aggregate annual projected costs. According to the approved State waivers, these costs should have been paid for solely with State funds for the first 3 months of each calendar year during FYs 2010 through 2012.
Most Medicaid payments that the Oklahoma Health Care Authority made to providers for full vials of Herceptin from January 1, 2012, through December 31, 2014, were correct. Of the 85 claim lines reviewed, 82 were correct and 3 were incorrect.
