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Wednesday, July 08, 2015

Audit finds Maryland owes $34 million for Medicaid claims

A federal inspector general has found that Maryland incorrectly billed Medicaid for services for the developmentally disabled in hundreds of thousands of cases and that the state owes the U.S. government more than $34 million, according to an audit to be released Tuesday.

The probe, by the inspector general of the U.S. Department of Health and Human Services, found the state did not ensure beneficiaries met requirements for "add-on" services — such as physical therapy or overnight, in-home help — and allowed many who did not qualify to receive the assistance.

The audit, a copy of which was obtained by The Baltimore Sun, is the second to hit the state's Developmental Disabilities Administration in recent years. In 2013, the office found Maryland routinely billed the federal government for room-and-board costs that were ineligible.

"The state … did not always comply with federal requirements," the auditors wrote in the most recent report, which covers a three-year period starting in 2010. In fact, state officials believed that a requirement limiting services to those most in need was in error, and so they ignored it, according to the audit.

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5 comments:

Anonymous said...

Another gift from O'Malley.

Anonymous said...

Other states are going thru the same thing & this article makes it sound like wrong doing on the part of the state...but truth is that regulations changed & states were often not made made aware of the changes.

Anonymous said...

Next thing we will hear is that we have patients undergoing chemo that don't need it. What is wrong with a medical oversight that allows doctors and hospitals to get away with this kind of thing all in the name of the almighty dollar.

Anonymous said...

Didn't the o tell us that this sort of thing wouldn't happen with ocare??

Anonymous said...

This whole country is broken and the only thing that matters in this country is the almighty dollar. People with no souls are running this funny farm.