Department of Health

Multiple Medicaid Payments to Clinics for Similar Services

We examined the Medicaid payments made to clinics over a 69-month period. We found that the clinics were overpaid as much as $36.4 million, because the same or similar services were reimbursed more than once. We recommend that the Department of Health investigate these payments and recover all overpayments. We also recommend that the Department clarify its billing instructions and develop automated procedures for preventing such duplicate payments.

For a complete copy of Report 98-S-33 click here.
For a copy of the 90-day response click here.
For a copy of the associated follow-up report click here.