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Medicaid Partial Care Program

Prior audit work identified a State agency's Medicaid adult partial care program as at high risk for improper payments. The purpose of the adult partial care program is to provide Medicaid beneficiaries with serious mental illnesses individualized outpatient clinic services to reduce unnecessary hospitalizations. Our prior audit made a financial recommendation and procedural recommendations to the State agency to improve its guidance and monitoring. This audit work will determine whether the State agency adequately implemented our prior recommendations. We will also review claims for compliance with Federal and State requirements, including the State agency's implementation of telehealth services due to the COVID-19 pandemic.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed Centers for Medicare and Medicaid Services Medicaid Partial Care Program Office of Audit Services W-00-22-31559;