Maryland Underreported the Federal Share of Medicaid Overpayment Collections

摘要

With limited exceptions, Medicaid is intended to be the payer of last resort. Therefore, States must make reasonable efforts to collect payments from parties, such as health insurers or managed care plans, that are responsible for services provided to Medicaid beneficiaries and must refund the Federal share they received for the services. Previous Office of Inspector General reviews have shown that States did not always report collections properly or refund the Federal share at the appropriate Federal medical assistance percentage (FMAP). The objective was to determine whether Maryland's Department of Health and Mental Hygiene (State agency) complied with Federal requirements for reporting Medicaid overpayment collections.