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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
Ohio Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries’ Deaths Audit
Ohio made capitation payments totaling $90.5 million on behalf of deceased beneficiaries. We confirmed that all beneficiaries associated with the 100 capitation payments in our stratified random sample were deceased. Ohio properly recovered 37 of these capitation payments. However, Ohio did not recover the remaining 63 capitation payments totaling $74,495 ($51,431 Federal share). On the basis of our sample results, we estimated that Ohio did not recover unallowable payments to Medicaid Managed Care Organizations totaling at least $51.3 million ($38 million Federal share) during our audit period.
Verification Review of Recommendations 48, 49, 50, and 53 from the Report Titled “A New Horizon: Looking to the Future of the Bureau of Ocean Energy Management, Regulation and Enforcement” (Report No. CR-EV-MMS-0015-2010)
We reviewed four recommendations (recommendations 48 – 50 and 53) in our 2010 report on the future of BOEMRE to determine whether the Bureau of Safety and Environmental Enforcement (BSEE), now responsible for those recommendations, had fulfilled them. We confirmed that BSEE has resolved, implemented, and closed the recommendations.
Independent Accountant’s Report on the Application of Agreed-Upon Procedures: Employee Benefits, Withholdings, Contributions, and Supplemental Semiannual Headcount Reporting Submitted to the Office of Personnel Management
