Audit (A-06-10-00070)

10-05-2012
Texas Did Not Always Comply With Federal and State Requirements Regarding the Medicare Buy-In Program

Executive Summary

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.