Review of Medicaid Services to Incarcerated Juveniles in the State of South Carolina During Federal Fiscal Years 2004 and 2005

For Federal fiscal years 2004 and 2005, the South Carolina Department of Health & Human Services (the Medicaid agency) claimed $881,000 ($618,000 Federal share) in costs relating to non-inpatient medical services provided to juvenile inmates of public institutions. The Medicaid agency inappropriately claimed these costs because neither the South Carolina Department of Juvenile Justice nor the Medicaid agency had adequate controls to ensure that services to inmates of public institutions were excluded from Federal financial participation in compliance with Federal requirements.