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Audit (A-05-08-00064)

06-12-2009
Family Planning Services Claimed Twice in Michigan for October 1, 2005, Through September 30, 2007

Executive Summary

For fiscal years 2006 and 2007, Michigan claimed and received $1.1 million ($1 million Federal share) in unallowable reimbursement for family planning services it claimed more than once. The State did not claim the remaining $16.6 million in family planning service costs more than once. Our review of all these claims showed that some services were claimed twice on behalf of the same beneficiaries on the same dates of service. The State reported the claims twice because the computer system that it used to report family planning services inappropriately compiled the same claims data from a report that identified family planning services for all places of service and another report that identified services at only family planning clinics.

We recommended that the State refund $1 million to the Federal Government for the unallowable duplicate Medicaid costs claimed from October 1, 2005, through September 30, 2007, and review family planning services claimed during the period January 1, 2001, through September 30, 2005, and after September 30, 2007, and refund to the Federal Government any Federal reimbursement for additional costs claimed more than once. The State concurred with our recommendations.

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