Review of Inpatient Hospital Claims Billed as Family Planning Under New Jersey's Medicaid Program

August 11, 2008 | Audit A-02-06-01020

Executive Summary

New Jersey improperly received Federal Medicaid reimbursement for family planning claims because the State's electronic Medicaid claims system did not identify all claims for which a family planning service was performed with a non-family-planning procedure during a single inpatient hospital stay and because some hospitals did not properly complete sterilization consent forms. As a result, the State improperly received $163,000 in Federal Medicaid funds.

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