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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 the Treasury
Corrective Action Verification: Treasury Effectively Monitored Small Business Lending Fund Participants’ Compliance with Program Requirements
New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Center for Nursing and Rehabilitation That Were Unallowable
The State agency claimed Medicaid reimbursement for some Adult Day Health Care Services (ADHC) services provided by Center for Nursing and Rehabilitation (CNR) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, 90 complied with Federal and State requirements, but 10 did not. We estimated that the State agency improperly claimed at least $283,000 in Federal Medicaid reimbursement for ADHC services provided by CNR that did not comply with certain Federal and State requirements.
The New York State Department of Health (State agency) claimed Medicaid reimbursement for some adult day health care services (ADHC) provided by Metropolitan Jewish Health System (MJHS) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, the State agency properly claimed Medicaid reimbursement for 80 claims. Of the remaining claims, 18 contained services that did not comply with Federal and State requirements, and, for 2 others, we could not determine whether the associated services complied with Federal and State requirements. We estimated that the State agency improperly claimed at least $1.1 million in Federal Medicaid reimbursement for ADHC services provided by MJHS that that did not comply with certain Federal and State requirements.
Recovery Act: Effectiveness of Indiana in Detecting and Reducing Unemployment Insurance Improper Payments and Implementation of Employment and Training Administration National Strategies
Under the Children's Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in Medicaid.
