Medical Assistance Provided by Delaware to Hurricane Katrina Evacuees

Delaware generally claimed reimbursement for services provided to Hurricane Katrina evacuees in accordance with its approved section 1115 demonstration project.  Of the $173,436 claimed, $164,145 was allowable.  However, the State claimed a net total of $9,291 in unallowable reimbursement for three applicants who did not meet the demonstration project's displacement requirements.  These applicants had identified themselves as from the hurricane area, but the State had no documentation or verification from the home State that their displacement status was valid.     We recommended that the State refund the $9,291 in unallowable reimbursement and revise its Form CMS-64.9 Waiver reports for Louisiana and Mississippi by the audit adjustment amounts. The State said that it could not refute the finding but stood by its eligibility determinations.