Department of Health

Medicaid Overpayments of Medicare Part B Deductibles (Follow-Up Report)

If an individual is eligible for both Medicare and Medicaid, the individual's eligible medical costs are to be paid by Medicare, except for a portion of the costs relating to certain services (called Part B services), which are to be paid by Medicaid. In audit 2006-S-122, we examined selected Medicaid payments and identified an estimated $592,000 in overpayments to more than 2,000 medical providers that incorrectly billed Medicaid for Medicare Part B services. We recommended that the overpayments be investigated and recovered, and procedures be established for preventing such overpayments in the future. When we followed up on this matter, we found that Department of Health officials had made progress in implementing our audit recommendations.

For a complete copy of Report 2008-F-45 click here.
For a copy of the 90-day response click here.