Office of Inspector General's Partnership Plan - State of Arizona, Office of Program Integrity's Medicaid

DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General Memorandum Deputy Inspector General for Audit Services Subject Office of Inspector General’s Partnership Plan - State of Arizona, Office of Program Integrity’s Medicaid Report on Audit of End Stage Renal Disease Services (A-09-0 l-00095) TO Neil Donovan Director, Audit Liaison Staff Centers for Medicare & Medicaid Services As part of our partnership efforts with State auditors, we are transmitting the final report entitled, Audit of End Stage Renal Disease Services (Report No. AOO-01). The audit addressed Medicaid payments for end stage renal disease (ESRD) services for the period January 1, 1996 through June 30, 1999. The Arizona Office of Program Integrity (OPI) performed the audit. Our work was conducted as part of a partnership effort with Arizona’s OPI to expand audit coverage of the Medicaid program. We have performed sufficient work to satisfy ourselves that the attached audit report can be relied upon and used by the Centers for Medicare & Medicaid Services (CMS) in meeting its program oversight responsibilities. We suggest you share this report with CMS components involved with program integrity, provider issues, and State Medicaid agency oversight, particularly the Center for Medicaid and State Operations. The objectives of the review were to: (1) determine proper billing protocols for ESRD services, (2) identify inappropriate payments made by the Arizona ...