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Audit (A-01-12-00007)

06-26-2012
Massachusetts Medicaid Payments to Redstone Rehabilitation and Nursing Center Did Not Always Comply With Federal and State Requirements

Executive Summary

The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), generally made Medicaid payments in accordance with Federal and State requirements to Redstone Rehabilitation and Nursing Center (Redstone). However, the State agency did not always adjust its Medicaid per diem payments to Redstone 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 $65,000 ($37,000 Federal Share). We attributed the incorrect Medicaid payments to clerical and billing errors.

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