Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Review Of Medicaid Claims Made For 21 To 64 Year Old Residents Of Private Institutions For Mental Diseases In The Commonwealth Of Virginia

Issued on  | Posted on  | Report number: A-03-02-00206

Report Materials

EXECUTIVE SUMMARY:

Virginia's Department of Medical Assistance Services (DMAS) did not establish controls to prevent it from claiming Federal financial participation (FFP) under the Medicaid program for medical services provided to 21 to 64 year old residents of private Institutions for Mental Diseases (IMDs).  Our review showed that DMAS claimed $127,678 of unallowable FFP.  The services claimed for reimbursement included personal care, practitioner, pharmacy and transportation services.  Federal laws and regulations prohibit FFP for the care and treatment of IMD patients in this age range.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
-

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.