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Medicaid Payments Made for Nonemergency Services Provided to Undocumented Aliens and Legal Aliens Restricted to Emergency Services in Texas

Issued on  | Posted on  | Report number: A-06-07-00108

Report Materials

The Texas Health and Human Services Commission (the State agency) claimed Federal reimbursement for 193 medical claims totaling $262,366 ($160,000 Federal share) and 7,114 prescription drug claims totaling $148,000 ($90,000 Federal share) for services that did not meet the State agency's definition of emergency care. Additionally, the State agency claimed overpayments totaling at least $37,000 (Federal share) for 350 unallowable family planning services claims at the enhanced Federal medical assistance rate of 90 percent.

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.