Review of American Recovery and Reinvestment Act of 2009 Medicaid Prompt Pay Requirements in Nebraska

摘要

In Nebraska, the Department of Health & Human Services (State agency) administers the States Medicaid program and oversees compliance with Federal and State requirements. The State agency uses the Medicaid Management Information System, a computerized payment and information reporting system, to process and pay Medicaid claims. For the period July 1, 2009, through September 30, 2009, the State agency received 2,095,810 clean claims from applicable providers and made payments for these claims totaling approximately $287.2 million. Our objective was to determine whether the State agency complied with the prompt pay requirements for receiving the increased FMAP under the Recovery Act.