Alabama Improperly Claimed Federal Funds for Children's Health Insurance Program Enrollees Who Had Medicaid or Other Health Insurance Coverage.

摘要

The objective was to determine whether Alabama claimed Children Health Insurance Program (CHIP) Federal Financial Participation (FFP) for individuals who were concurrently enrolled in CHIP and Medicaid or who had other health insurance coverage. Alabama improperly claimed CHIP FFP for some individuals who were concurrently enrolled in CHIP and Medicaid. Of the 138 CHIP beneficiary-months in our sample, 131 totaling $1,046,285 FFP were not allowable for CHIP reimbursement because the individuals were also enrolled in Medicaid. We found no errors in the remaining seven CHIP beneficiary-months. Based on our sample results, we estimated that Alabama improperly claimed $1,547,357 in CHIP FFP for enrollees who were concurrently enrolled in CHIP and Medicaid from October 1, 2009, through September 30, 2010.