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