Medicaid Overpayment Reporting and Collections
Prior OIG audits identified Medicaid overpayments in various States and included recommendations for the collection of those overpayments. If a Federal audit indicates that a State has failed to identify an overpayment, Centers for Medicare & Medicaid Services considers the overpayment as discovered on the date that the Federal official first notifies the State in writing of the overpayment and specifies a dollar amount subject to recovery (42 CFR § 433.316(e)). Federal regulations require that States report overpayments to Centers for Medicare & Medicaid Services. For OIG audits in which Centers for Medicare & Medicaid Services concurred with recommendations to collect overpayments, we will determine whether the overpayments have been recouped and properly reported to Centers for Medicare & Medicaid Services.
|Announced or Revised||Agency||Title||Component||Report Number(s)||Expected Issue Date (FY)|
|Completed||Centers for Medicare & Medicaid Services||Medicaid Overpayment Reporting and Collections||Office of Audit Services||A-05-17-00013;