Tag Archives: Medicaid

Sneak Preview: N.Y. Auditor Seeks Review of Medicaid Eligibility

(The following was excerpted from a recent article in the Single Audit Information Service.) The New York Department of Health is updating the functionality of its Medicaid information system to enable state auditors to better review applicant eligibility and enrollment…

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Sneak Preview: Pa. Agency’s Medicaid Training Costs Disallowed

(The following was excerpted from an article in the Federal Grants Management Handbook.) The Department of Health and Human Services (HHS), Departmental Appeals Board recently upheld a Centers for Medicare and Medicaid Services (CMS) ruling to disallow more than $3…

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Sneak Preview: N.Y. Seeks $119.3M in Uncollected Drug Claims

(The following was excerpted from an article in the Single Audit Information Service.) The New York Department of Health is calling for managed care organizations (MCOs) to correct and resubmit Medicaid drug claims that were previously unprocessed due to errors…

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Sneak Preview: Congress, CMS Urged To Reduce Medicaid Improper Payments

(The following was excerpted from an article in the Single Audit Information Service.) Congress and the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) should consider the growing risks affecting Medicaid as they work…

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Sneak Preview: N.C.’s Medicaid Application Process Criticized

(The following was excerpted from an article in the Single Audit Information Service.) The North Carolina Department of Health and Human Services, Division of Medical Assistance seeks to implement best practices by March 2015 to better ensure that only qualified…

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Sneak Preview: CMS To Issue Guidance on Medicaid Interstate Match

(The following was excerpted from an article in the Federal Grants Management Handbook.) The Centers for Medicare and Medicaid Services plans to issue guidance to states explaining their responsibilities for participating in the Medicaid Interstate Match in response to a…

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Sneak Preview: N.Y. Aims To Recoup Ancillary Service Overpayments

(The following was excerpted from an article in the Single Audit Information Service.) After a recent New York Office of State Comptroller audit identified about $1.4 million in improper payments for ancillary services claims from April 2012 to September 2013,…

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Sneak Preview: Medicaid Exclusions Due to Fraud Rise in FY 2013

(The following was excerpted from an article in the Single Audit Information Service.) In fiscal year 2013, the Department of Health and Human Services, Office of Inspector General, in response to referrals from Medicaid Fraud Control Units, excluded a greater…

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Sneak Preview: Disallowance Reversed for Massachusetts Medicaid Claim

(The following was excerpted from an article in the Federal Grants Management Handbook.) The Massachusetts Office of Health and Human Services successfully overturned much of a prior disallowance from the Department of Health and Human Services for Medicaid reimbursements, winning…

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Sneak Preview: Financial Statement Errors Cost Ga. Agency $90M

(The following was excerpted from an article in the Federal Grants Management Handbook.) States that seek federal Medicaid reimbursement should be aware of the program’s two-year reimbursement deadline, and should not rely on the argument that making an “erroneous credit”…

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