Department of Health

Medicaid Overpayments for Mental Health Services (Follow-Up Report)

In audit 2006-S-53, we identified more than $1.3 million in Medicaid overpayments for mental health services, many of which were the result of providers billing Medicaid more than once for the same service. In addition, about $436,000 in overpayments were made to a psychiatrist who sometimes billed Medicaid for more than 24 hours of services in a single day. We recommended that the Department of Health investigate and recover the overpayments we identified, and strengthen its Medicaid claims processing controls to prevent such overpayments in the future. When we followed up on these matters with Department officials, we found they had made considerable progress in implementing our audit recommendations.

For a complete copy of Report 2008-F-54 click here.
For a copy of the 30-day response click here.