Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Washington Received Millions in Unallowable Bonus Payments

Under the Children's Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in Medicaid.

Some of the bonus payments that Washington received for the audit period were not allowable in accordance with Federal requirements. Most of the data used in Washington's bonus payment calculations was in accordance with Federal requirements. However, the State agency overstated its FYs 2009 through 2012 current enrollment in its bonus requests to CMS because it included individuals who did not qualify because of their basis-of-eligibility code. As a result, CMS overpaid Washington $19.5 million in bonus payments. We recommended that the State agency (1) refund $19.5 million to the Federal Government and (2) ensure that future requests for CHIPRA bonus payments include only qualifying children to comply with Federal requirements. The State agency disagreed with our findings.

Filed under: Center for Medicare and Medicaid Services