Series: Medicaid Targeted Case Management

OBJECTIVE

The Social Security Act, § 1915(g)(2), defines case management services as those assisting individuals eligible under the State plan in gaining access to needed medical, social, educational, and other services. Case management services do not include the direct delivery of an underlying medical, educational, social, or other service for which an eligible individual has been referred. Payments for case management services may not duplicate payments made to public agencies under other program authorities for the same service. Prior OIG work in one State identified 18 percent of such claims as unallowable, with an additional 20 percent as potentially unallowable. We will determine whether Medicaid payments for targeted case management services in selected States were made in accord with Federal requirements.

There are 2 projects in this series.

Project titles will remain unpublished until projects are complete and reports are posted.

ACTIVE PROJECTS IN THIS SERIES (1)

COMPLETED PROJECTS IN THIS SERIES (1)

Medicaid Targeted Case Management Services in Alabama

Project A-07-22-03253 • Completed on April 1, 2024

TIMELINE

• July 5, 2022
  Series Number W-00-24-31082 Assigned
• July 5, 2022
  Project Announced

  Medicaid Targeted Case Management Services in Alabama - A-07-22-03253

• November 20, 2023
  Project Announced

  Project A-07-24-03259

• April 1, 2024
  Project Complete - A-07-22-03253

  Medicaid Targeted Case Management Services in Alabama has been marked as complete. This audit resulted in 2 recommendations.

• Today
  1 Audit In-Progress
• Est FY2026
  Estimated Fiscal Year for Series Completion

1 REPORT PUBLISHED

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