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Audit Report (A-06-08-00053)

Collaborative Effort to Identify Overlapping Claims for Dual-Eligible Beneficiaries Receiving Medicare Part A and Medicaid Long-Term-Care Services in Texas

Executive Summary

The Texas Health and Human Services Commission (the State agency) paid Medicaid long-term-care providers for the same dates of service for which Medicare paid hospitals and skilled nursing facilities for dual-eligible beneficiary stays. The State agency recovered $417,060 ($253,098 Federal share) in payments for 1,198 claims made during 2006.

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