Department of Health

Medicaid Payments to Transportation Providers While Recipients Were Hospitalized (Follow-Up Report)

If a Medicaid recipient needs medical services, but cannot get to those services, federal regulations require that transportation be provided to the recipient. In audit 2006-S-78, we examined Medicaid payments to transportation providers over a 55-month period and identified more than $4 million in payments that were potentially inappropriate because the recipients appeared to be hospitalized at the time the transportation was supposedly provided. We recommended that the Department of Health investigate the potential overpayments, recover all actual overpayments, and develop controls to prevent such overpayments in the future. When we followed up on these matters, we found that Department officials had made some progress in implementing our audit recommendations, but additional actions were still needed.

For a complete copy of Report 2008-F-24 click here.
For a copy of the 90-day response click here.