Audit of Medical and Ancillary Medicaid for 21 to 64 Year Old Residents of State Psychiatric Hospitals

DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General JUL 1 5 230~ Washington, D.C. 20201 Dennis J. Duquette Deputy Inspector for Audit Services Audit of Medical and Ancillary Medicaid Claims for 21 to 64 Year Old Residents of State Psychiatric Hospitals that are Institutions for Mental Diseases in Florida (A-04-0 1-02008) Neil Donovan Director, Audit Liaison Staff Centers for Medicare & Medicaid Services As part of the Office of Inspector General’s self-initiated audit work, we are alerting you to the issuance within 5 business days of our final audit report entitled, “Audit of Medical and Ancillary Medicaid Claims for 21 to 64 Year Old Residents of State Psychiatric Hospitals that are Institutions for Mental Diseases in Florida.” A copy of the report is attached. This report is one of a series of reports involving our multi-State review of Federal reimbursement for medical care provided to residents of institutions for mental diseases (IMD). We suggest you share this report with components of the Centers for Medicare & Medicaid Services involved with program integrity, provider issues, and State Medicaid agency oversight, particularly the Center for Medicaid and State Operations. The objective of our review was to determine if controls were in place to effectively preclude the Florida Agency for Health Care Administration (State agency) from claiming Federal financial participation (FFP) under the Medicaid program when ...