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Four States Reviewed Received Increased Medicaid COVID-19 Funding Even Though They Terminated Some Enrollees' Coverage for Unallowable or Potentially Unallowable Reasons

Submitting OIG: 
Department of Health & Human Services OIG
Date Issued: 
Friday, September 22, 2023
Agency Reviewed / Investigated: 
Department of Health & Human Services
Submitting OIG-Specific Report Number: 
A-06-21-09002
Component, if applicable: 
Centers for Medicare & Medicaid Services
Centers for Medicare and Medicaid Services
External entity, if applicable: 
CMS
Location(s): 
United States
Type of Report: 
Audit
Special Projects: 
Pandemic
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
2
Report updated under NDAA 5274: 
No

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
23-A-06-120.01 Open No
We recommend that the Centers for Medicare & Medicaid Services work with the four States to determine what amount, if any, of the funding they received because of the increased COVID-19 FMAP should be refunded to the Federal Government.
23-A-06-120.02 Open No
We recommend that the Centers for Medicare & Medicaid Services work with Minnesota to determine whether Medicaid enrollees were responsible for any cost-sharing for COVID-19 testing, services, or treatments and, if any cost-sharing is identified, work with Minnesota to ensure that enrollees are reimbursed for any out-of-pocket expenses incurred.
Displaying 2 of 2 Recommendations