Review of Virginia's Buy-In of Medicare Part B Premiums for Medicaid Beneficiaries from January 2008 Through December 2009

The Virginia Department of Medical Assistance Services (State agency) generally claimed a Federal share for Medicare Part B premiums it paid on behalf of Medicaid beneficiaries in accordance with Federal requirements. However, the State agency incorrectly claimed $16,000 (Federal share) for 19 beneficiaries. This occurred because the State agency's Medicaid Management Information System reports did not accurately identify the proper buy-in codes for some beneficiaries under the Railroad Retirement system and the State agency did not correct, or have the Centers for Medicare & Medicaid Services correct, the errors.