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Recommendation Details
Text of Recommendation
We recommend that the State agency ensure all MCOs implement edits to appropriately reduce or deny claims for other PPCs.
Recommendation Number
267607
Recommendation Status
Open
Significant Recommendation
No
Recommendation Questioned Costs
$0
Recommendation Funds for Better Use
$0
Associated Report Details
Submitting OIG
Department of Health & Human Services OIG
Linked Report
Texas Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions