Federal Financial Participation in Nebraska's Medicaid Management Information System

This final audit report points out that the Nebraska Department of Social Services claimed Medicaid Management Information System (MMIS) costs of $14.3 million at the enhanced 75 percent Federal financial participation (FFP) rate. However, claims totaling $4.9 million (Federal share $1.2 million) were ineligible for the enhanced rate. In addition to a financial adjustment, we recommended procedural changes to ensure that only eligible costs are claimed at the enhanced rate of 75 percent. Regional Health Care Financing Administration officials concurred with our findings and recommendations.