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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Title XIX Federal Financial Participation Claimed for Rehabilitative Treatment Services Family Preservation," (A-07-02-03024)

April 12, 2004

Complete Text of Report is available in PDF format (1.09 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The objective of this review was to determine whether the amounts claimed by the Iowa Department of Human Services (the State) for the Rehabilitative Treatment Services Family Preservation Program met Title XIX reimbursement requirements for Federal financial participation (FFP). Our audit period was October 1, 2000 through September 30, 2001.  Of the 100 family preservation claims reviewed, 35 were found to contain errors and were not allowable.  We recommended that the State return to the Federal Government $113,040 of the Medicaid FFP claimed for the Family Preservation Program.  We also recommended that the State strengthen policies and procedures to ensure that Medicaid payments are based on services directed exclusively to the rehabilitative treatment needs of the child, and are provided in compliance with State and Federal regulations.