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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.

Filed under: Centers for Medicare and Medicaid Services