Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Medicaid Monthly Payments for School-Based, Health-Related Services in North Carolina

Issued on  | Posted on  | Report number: A-04-00-02161

Report Materials

EXECUTIVE SUMMARY:

This final report points out that the North Carolina Division of Medical Assistance (DMA) made payments totaling $5.3 million (Federal share) for school-based, health-related services to Local Education Agencies using a methodology that was not included in its approved State Plan. These conditions occurred because DMA exercised minimal oversight of the activities of its revenue maximization subcontractor.  We recommended that the DMA refund the Federal share of any overpayment resulting from a planned monthly payment cost settlement process and exercise more oversight over the activities of its revenue maximization subcontractor.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
-

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.