OIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees

(By Rylee Wilson for Becker’s Hospital Review)

Fourteen states gave managed care organizations payments for Medicaid enrollees for months after beneficiaries had died, a series of HHS Office of Inspector General audits found.

In a report published Nov. 24, the OIG said the 14 audits uncovered an estimated $249 million in improper capitation payments for deceased enrollees. The audits were conducted for periods from 2009 to 2019. Continue reading here…

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