Department of Health
Duplicate Medicaid Transportation Payments The Medicaid reimbursement rate for certain hospitals, clinics and other facilities is intended to cover all the services provided by the facilities, including transportation services. If Medicaid recipients at the facilities receive transportation services from outside providers, the providers should be reimbursed by the facilities. However, we found that some providers billed Medicaid for these services, and Medicaid paid both the transportation providers and the facilities. We identified at least $9.7 million in such duplicate payments during our two-year audit period, and estimate that as much as $31.1 million in additional duplicate payments may have been made. We recommended that the payments be investigated, all overpayments be recovered, and controls be improved to prevent such overpayments in the future.
For a complete copy of Report 2001-S-65 click here.
For a copy of the 90-day response click here.
For a copy of the associated follow-up report click here.