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Mass. Medicaid Payments to Healthbridge Management Didn't Comply w/Federal, State Requirements (A-01-13-00001) 06-25-2013
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Medicaid Payments to Healthbridge Management Didn't Comply w/Federal, State Requirements" class="twitter-share-button" data-count="horizontal" data-via="oigathhs" href="https://web.archive.org/web/20140706225439/https://twitter.com/share">Tweet</a><script type="text/javascript" src="//web.archive.org/web/20140706225439js_/http://platform.twitter.com/widgets.js"></script> </div> </div> <!-- Administration on Aging Administration for Children and Families Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services Food and Drug Administration General Departmental Health Resources and Services Administration Indian Health Service National Institutes of Health Federal/State Joint Audit Initiatives Substance Abuse and Mental Health Services Administration --> <h1>Audit (A-01-13-00001)</h1> <h2>06-25-2013<br/> Massachusetts Medicaid Payments to Healthbridge Management Did Not Always Comply With Federal and State Requirements</h2> <h2 class="line">Complete Report</h2> <p class="download">Download the <a href="/web/20140706225439/http://oig.hhs.gov/oas/reports/region1/11300001.pdf" target="_blank">complete report</a> <!-- Footer --> <p class="pdf"> <a class="exit" href="https://web.archive.org/web/20140706225439/http://get.adobe.com/reader/" target="_blank">Adobe® Acrobat®</a> is required to read <acronym title="Portable Document Format">PDF</acronym> files. </p> </p> <h2 class="line">Summary</h2> <p>The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), did not always make Medicaid payments in accordance with Federal and State requirements to Healthbridge Management (Healthbridge). The State agency did not always adjust its Medicaid per diem payments to Healthbridge by the amount of beneficiaries' cost-of-care contributions from resources, such as Social Security and pensions. As a result, the State agency overstated its Federal claim by a total of approximately $101,000 ($56,000 Federal share). We attributed the incorrect Medicaid payments to clerical and billing errors.</p> <p>Copies can also be obtained by contacting the Office of Public Affairs at <a href="https://web.archive.org/web/20140706225439/mailto:Public.Affairs@oig.hhs.gov">Public.Affairs@oig.hhs.gov</a>. </p> </div><!-- leftContentInterior --> </div> <!-- leftSideInterior ends --> <div id="rightSide"> <div id="imLookingForHeading"><span>I'm Looking For</span></div> <div id="imLookingFor"> <p>Let's start by choosing a topic</p> <div id="chooseTopic"> <a href="#">Select One </a> </div> </div><!-- imLookingFro ends --> <div id="topicSelection"> <a href="#" id="closeButton"><span>X</span></a> <ul class="leftSide"> <li> <a href="/web/20140706225439/http://oig.hhs.gov/reports-and-publications/compendium/"> <h3>Compendium</h3> <p>Priority recommendations summarized.</p> </a> </li> <li> <a href="/web/20140706225439/http://oig.hhs.gov/reports-and-publications/workplan/index.asp#current"> <h3>FY 2014 Work Plan</h3> <p>OIG 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