OBJECTIVE
Outpatient clinical diagnostic laboratory tests encompass tests performed in a physician’s office, by an independent laboratory, or by a hospital laboratory, and provide information for the diagnosis, prevention, or treatment of disease or for the assessment of a medical condition. Medicaid reimbursement for outpatient clinical diagnostic laboratory services performed in a physician’s office, by an independent laboratory, or by a hospital laboratory, generally may not exceed the amount set in the Medicare clinical laboratory fee schedule. Our objective is to determine whether selected States claimed Federal Medicaid reimbursement for outpatient clinical diagnostic laboratory services in accordance with the payment limits set in Federal and State requirements.
There are 6 projects in this series.
ACTIVE PROJECTS IN THIS SERIES (6)
TIMELINE
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October 15, 2024Series Number SRS-A-25-002 Assigned
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October 15, 2024Project Announced
Project OAS-25-01-004
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February 18, 2025Project Announced
Project OAS-25-01-076
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March 10, 2025Project Announced
Project OAS-25-01-084
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April 28, 2025Project Announced
Project OAS-25-06-095
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June 26, 2025Project Announced
Project OAS-25-05-120
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October 6, 2025Project Announced
Project OAS-26-04-005
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Today6 Audits In-Progress
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Est FY2026Estimated Fiscal Year for Series Completion