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Texas Claimed Community First Choice Fee-for-Service Expenditures Appropriately

Issued on  | Posted on  | Report number: A-06-17-08002

Report Materials

Texas claimed Community First Choice Fee-for-Service (CFC FFS) expenditures appropriately, with minimal errors. Specifically, Texas inappropriately paid for both CFC FFS claims, totaling $116,973 ($73,845 Federal share), and managed care payments for beneficiaries during the same months.

19-A-06-039.01 to CMS - Closed Implemented
Closed on 05/14/2019
We recommend that Texas refund $73,845 to the Federal Government that it inappropriately paid for CFC FFS claims.

19-A-06-039.02 to CMS - Closed Implemented
Closed on 05/14/2019
We recommend that Texas establish controls whereby it cannot make a CFC FFS claim payment and a managed care payment in the same month for a beneficiary's CFC services.

View in Recommendation Tracker
Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Non-institutional care
Target Groups
-
Financial Groups
Medicaid

Notice

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