Illinois Improperly Claimed Medicaid Reimbursement for Optical Services and Supplies

Illinois claimed Federal Medicaid reimbursement for some optical services and supplies that did not comply with Federal and State requirements. Of the 658 total optical claims reviewed for the sampled 108 beneficiaries, 449 complied with Federal and State requirements, but 209 did not. On the basis of our sample results, we estimated that Illinois improperly claimed at least $488,000 in Federal Medicaid reimbursement for optical services and supplies that did not meet Federal and State requirements.