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Review of Missouri's Retroactive Family Planning Claim

Issued on  | Posted on  | Report number: A-07-04-01012

Report Materials

EXECUTIVE SUMMARY:

Our objective was to determine whether Missouri's retroactive claim for enhanced Federal reimbursement for Medicaid family planning expenditures complied with Federal regulations.  Missouri's retroactive claim did not fully comply with Federal regulations, which generally limit reimbursement of State expenditures to claims filed within 2 years of the expenditure. Of the $11.1 million claimed, $6,467,583 did not meet this limitation and therefore was unallowable. We recommended that Missouri refund $6,467,583 to the Federal Government and ensure that future retroactive claims submitted for Medicaid reimbursement comply with Federal regulations. Missouri did not agree that its retroactive claim was subject to the 2-year rule. Missouri also said that it already had internal controls to claim appropriate costs.

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

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