Health-Care-Acquired Conditions - Prohibition on Federal Reimbursements
As of July 1, 2011, Federal payments to States are prohibited for any amounts expended for providing medical assistance for health-care-acquired conditions (SSA §1903 and Patient Protection and Affordable Care Act §2702). Federal regulations prohibit Medicaid payments by States for services related to health-care-acquired conditions and for provider preventable conditions as defined by Centers for Medicare & Medicaid Services or included in the Medicaid State Plan (42 CFR §447.26). We will determine whether selected States made Medicaid payments for hospital care associated with health-care-acquired conditions and provider preventable conditions and quantify the amount of Medicaid payments for such conditions.
|Announced or Revised||Agency||Title||Component||Report Number(s)||Expected Issue Date (FY)|
|Completed (partial)||Centers for Medicare & Medicaid Services||Health-Care-Acquired Conditions - Prohibition on Federal Reimbursements||Office of Audit Services||A-06-16-08004; various reviews||2019|