OIG Examines Medicaid Payments for Therapy Services

The HHS Office of Inspector General has issued a report entitled "Medicaid Payments for Therapy Services in Excess of State Limits." According to the OIG, 35 of the 48 states that pay for any type of Medicaid therapy services (physical, occupational, or speech therapy) placed limits on the amount of services a beneficiary could receive. In eight states where the OIG examined paid claims for the period July 1, 2008, through June 30, 2009, each described safeguards established to prevent payments in excess of state limits, but six still improperly paid claims totaling approximately $744,000 and three states paid claims that were potentially improper. The OIG recommends that CMS work with states to prevent Medicaid payments for therapy services in excess of state limits and to follow up on the inappropriate claims identified in our review; CMS concurred.

 

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