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Audit of Ambulance Services Supplemental Payment Program

Announced on  | Last Modified on  | Project Number: A-06-23-01003
Status
Completed
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

Some States have implemented uncompensated care payment programs that allow ambulance providers to receive supplemental payments for services provided to Medicaid beneficiaries and uninsured patients. We will conduct audits of selected States to determine whether the States' claims for Federal reimbursement for supplement payments to these providers complied with Federal and State requirements.

TIMELINE

REPORT PUBLISHED

Texas' Ambulance Services Supplemental Payment Program Did Not Comply With Federal and State Reimbursement Requirements (A-06-23-01003)
  • We found that Texas’ claims for Federal reimbursement for ASSPP payments for three of the four selected ambulance providers did not comply with Federal and State requirements. Specifically, in the cost reports of the selected ambulance providers, we identified an adjustment error in one ambulance provider’s ASSPP cost report. Additionally, we identified unallowable and potentially unallowable costs in three ambulance providers’ ASSPP cost reports.

26-A-06-008.01 to CMS - Open Unimplemented
Update expected on 05/04/2026
We recommend that the Texas Department of Health and Human Services require training for all individuals that certify ASSPP cost reports on how to review cost reports for accuracy.

26-A-06-008.02 to CMS - Open Unimplemented
Update expected on 05/04/2026
We recommend that the Texas Department of Health and Human Services revise its policies and procedures to require ambulance providers to submit sufficient documentation that allows the State agency to determine whether costs claimed on ASSPP cost reports are related to the provision of contracted patient care.

View in Recommendation Tracker
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship
Target Groups
-
Financial Groups
Medicaid