Review of Medicaid Payments for School-Based Health Services Made to Manchester, New Hampshire

The New Hampshire Department of Health and Human Services, Office of Medicaid Business and Policy (State agency) did not always claim Federal Medicaid reimbursement for school-based health services submitted by the Manchester School Administrative Unit (SAU) in accordance with Federal and State requirements during calendar years 2006 through 2008. Of the 100 student months in our random sample, 34 student months met Federal and State requirements. However, the remaining 66 student months had one or more school-based health services that were not reimbursable. Based on our results, we estimated that the State agency improperly claimed approximately $984,000 ($495,000 Federal share) for Medicaid payments made to the Manchester SAU.