Review of Nebraska Medicare Part D Contributions to the Centers for Medicare & Medicaid Services for "Full-Duals

Executive Summary

From January through October 2006, the Nebraska Department of Health and Human Services (Nebraska) did not always make a corresponding contribution payment to the Centers for Medicare & Medicaid Services (CMS) on behalf of Medicaid recipients who were also eligible for Medicare (full-duals). Federal regulations require States to make contribution payments to CMS in order to defray a portion of the costs of the Medicare Part D program.

Our review found that for the 300 statistically sampled beneficiary-months, Nebraska (1) was not required to make contributions to CMS because the beneficiaries were not actually full-duals in the sampled months or were not identified in the State's Medicaid eligibility records or (2) made subsequent retroactive contributions to CMS. Our report made no recommendations.