South Carolina Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64

For the period October 2007 through September 2014, we determined that the South Carolina Department of Health and Human Services (State agency) incorrectly claimed Affordable Care Act Medicaid expenditures totaling $59,149,483 as Indian Health Service expenditures; however, there is no monetary recovery because these expenditures were eligible for 100-percent reimbursement.