DALLAS (AP) - An audit shows Texas received nearly $58 million from the federal Medicaid program for health services that did not qualify for reimbursement.
Texas may have to return some money, The Dallas Morning News (https://bit.ly/2c2FHSo ) reports. Audit details were released this month by the Department of Health and Human Services Office of the Inspector General.
The supplemental physician payment program began in October 2006 and ran for about five years. Reimbursements could be collected from earlier years. The goal was to encourage group practices owned or operated by the state to take on more low-income patients.
The audit found issues with payments to six facilities within the University of Texas academic health system. The audit said that facilities were erroneously reimbursed for health care by providers who weren’t eligible for Medicaid funds and for services that couldn’t be reimbursed by the federal health insurance program.
According to the audit, claims were “overstated,” in some cases.
UT officials say they’re prepared to make full restoration if calculations were incorrect.
“We await final determination from (the Centers for Medicare and Medicaid Services) about what will need to be repaid,” UT officials said.
The Texas Health and Human Services Commission is working with federal officials on a solution.
The inspector general plans to release another report later this year on the Center for Medicare and Medicaid Services’ payments to the Texas Tech University Health Sciences Center.
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Information from: The Dallas Morning News, https://www.dallasnews.com
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