Michigan Auditor General’s Performance Audit reveals Michigan Improperly Spent $160 Million on Medicaid

A performance audit of the Michigan Medicaid Home Help Program (HHP) revealed that Michigan improperly spent a total of $160 million over a three-year period caring for Medicaid beneficiaries needing in-home personal care services. The $160 million figure cited accounts for approximately 17.9 percent of the total HHP expenditures from October 1, 2010 through September 30, 2013. HHP allows Medicaid beneficiaries with functional limitations resulting from a medical or physical disability or cognitive impairment to receive personal care services in… Read More >

Home Health Agencies and Skilled Nursing Facilities Among Those Providers Included in the OIG’s Compendium of Priority Recommendations

The March 2014 edition of the Department of Health and Human Services Office of Inspector General (OIG’s) Compendium of Priority Recommendations lists the OIG’s 25 “priority recommendations.” Some of the provider types that are specifically mentioned in the report, and likely to see increased scrutiny from the OIG, include: 1. Home Health Agencies. The OIG alleges that one in every four home health agencies (HHAs) exhibited “questionable billing.” Recommendations include implementing and improving claims processing edits to prevent “inappropriate payments,”… Read More >