Becker's Healthcare June 29, 2023
The Government Accountability Office is urging CMS to consider adding Medicaid managed care programs to the scope of its recovery audit program.
In a report published June 28, the Congressional watchdog office recommended CMS study if it is cost effective to require states to audit Medicaid managed care plans for potential overpayments.
The Medicaid Recovery Audit Contractor program requires states to hire contractors to audit for potential Medicaid overpayments. Just 16 states participate in the program — other states have been provided exemptions from CMS because they have...
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