Hospice News September 23, 2025
The State of Texas did not calculate or recoup overpayments from hospices that exceeded the Medicaid payment cap, according to the U.S. Department of Health and Human Services Office of the Inspector General (OIG).
OIG conducted an audit of $166.7 million in payments that the Texas Health and Human Services Commission (HHSC) made to hospices between 2020 and 2022. The audit discovered that the state agency overpaid 174 hospices by as much as $10.5 million. This amounts to 36% of the Texas hospices that received Medicaid payments during those years.
In addition to the state, the federal government would have received a portion of the recouped payments, totaling $6.9 million.
“This occurred because the state agency did not have any...
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