tci Medicare Compliance & Reimbursement - 2003 Issue 42

Medicaid: TX PROVIDERS MAY FACE IMD RECOUPMENTS

Ongoing OIG probe addresses Medicaid payments for IMD residents.In its latest attempt to assess whether states are blocking federal payments for most residents of institutions for mental diseases - as they're required to do under a longstanding, if oft-misunderstood, federal policy - the HHS Office of Inspector General casts its sights on the Virginia and Texas health departments. The results: neither state has the controls in place to keep from billing the feds for care the states are supposed to foot the bill for themselves. The ongoing, nationwide series of reviews is designed to ensure that states aren't...

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