Federal Reports

Of the $374 million in managed care organization (MCO) recoveries, New Mexico appropriately refunded the Federal share for $359 million. However, New Mexico underreported the Federal share for the remaining $15 million by $4.4 million because (1) it incorrectly calculated the Federal share of recoveries related to Affordable Care Act (ACA) expansion population payments, which the Federal Government originally matched at 100 percent using the regular Federal medical assistance percentage (FMAP), and (2) it did not consider higher FMAPs, such as for Family Planning and Breast and Cervical Cancer, in its Federal share calculations for MCO recoveries of other beneficiary populations' payments.

TrustSolutions, LLC, did not claim allowable Medicare pension costs of $1,944 on its Incurred Cost Proposals for calendar years 2010 and 2011.

Two Amtrak employees, Narcisse Tsaba, Electrician, and Jean-Jacques Lontchi, Locomotive Inspector, resigned on February 4 and February 12, 2019, respectively. The two employees previously pleaded guilty to misdemeanor fraud charges in the District of Columbia Superior Court for participating in a fraudulent timekeeping scheme. The former employees inappropriately received pay from both Amtrak and the Washington Metropolitan Area Transit Authority (WMATA) by claiming to be at one employer while physically reporting to the other. The Court ordered Tsaba to pay $7,492 in restitution and Lontchi $3,524 in restitution. This joint investigation was conducted with the WMATA Office of Inspector General.

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