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Texas Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death

Texas Medicaid did not always stop making capitation payments after a beneficiary's death, despite its efforts to identify and recover any unallowable payments. Specifically, Texas Medicaid paid managed care organizations $1.8 million ($1 million Federal share) for capitation payments between January 1, 2013, and December 31, 2015, for deceased beneficiaries.

Filed under: Centers for Medicare and Medicaid Services