Review of Medicaid Supplemental Rate Payments to UMass Memorial Health Care, Inc., for Fiscal Years 2004 and 2005

摘要

UMass Memorial Health Care, Inc. (UMMHC), is the controlling company for one large teaching hospital, four small community hospitals, and a physician practice group (UMass Memorial Medical Group). The State agency reimburses acute-care hospitals for an array of inpatient and outpatient services. In addition, it provides Medicaid supplemental rate payments (supplemental payments) to selected hospitals. For the period October 1, 1999, through January 20, 2001, UMMHC received supplemental payments for its unreimbursed costs. Our objective was to determine whether the State agency's claims for Federal reimbursement of supplemental payments to UMMHC during FYs 2004 and 2005 were in accordance with certain Federal and State plan requirements.