Review of Medicare Payments for Services Provided Under New Jersey's Section 1915(c) Community Care Waiver at Bancroft NeuroHealth from January 1, 2005, Through December 31, 2007

摘要

During calendar years 2005 through 2007, the State agency claimed Federal reimbursement totaling $1.4 billion for services provided under the CCW program. During this period, Bancroft NeuroHealth (Bancroft), a CCW program service provider located in Haddonfield, New Jersey, received Medicaid reimbursement for 7,057 beneficiary-months totaling $41.6 million ($20.8 million Federal share). A beneficiary-month includes all CCW program services for a State beneficiary for 1 month. Our objective was to determine whether the State agencys claim for Medicaid reimbursement for CCW program services provided by Bancroft complied with certain Federal and State requirements.