Texas Did Not Always Comply With Federal and State Requirements Regarding the Medicare Buy-In Program
The Texas Health and Human Services Commission (the State agency) did not always claim Medicare premiums it paid on behalf of eligible individuals enrolled in the Medicaid buy-in program in accordance with Federal and State requirements. In addition, the State agency did not periodically review the documentation for individuals whom CMS automatically enrolls in the buy-in program to confirm their continued eligibility.
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Priority recommendations summarized.
FY 2016 Work Plan
OIG projects planned for 2016.
Significant OIG activities in 6-month increments.