Department of Health

Duplicate Medicaid Payments to Clinics

We examined the Medicaid payments made to clinics over a five-year period to determine whether any clinics were paid more than once for the same medical service. We identified six such clinics. These clinics had submitted duplicate claims to the State’s Medicaid claims processing system, and the duplication was not detected by the system because of control weaknesses in the system. The six clinics were overpaid a total of nearly $336,000 for the duplicate claims. We recommended that the overpayments be recovered and the claims processing controls be strengthened to prevent such overpayments in the future.

For a complete copy of Report 2006-S-35 click here.
For a copy of the 90-day response click here.
For a copy of the associated follow-up report click here.