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Review of Louisiana Medicaid Personal Care Services Provided by Immaculate Heart of Mary-PCS

For the period October 1, 2006, through March 31, 2009, the Louisiana Department of Health and Hospitals, Bureau of Health Services Financing, did not always ensure that Immaculate Heart of Mary-PCS's (Immaculate) claims for Federal reimbursement of Medicaid personal care services complied with certain Federal and State requirements. Of the 100 claims in our random sample, 72 did not comply with these requirements. We estimated that Immaculate improperly claimed at least $820,000 (Federal share) of unallowable reimbursement for personal care services.

Filed under: Centers for Medicare and Medicaid Services