Audit Agency

Office of Inspector General (OIG), Department of Health and Human Services

1 indexed reports

US
2022

The Centers for Medicare & Medicaid Services’ Eligibility Review Contractor Adequately Determined Medicaid Eligibility for Selected States Under the Payment Error Rate Measurement Program

Office of Inspector General (OIG), Department of Health and Human Services
Published 2022

We determined that CMS’s eligibility review contractor correctly determined Medicaid eligibility for the beneficiaries associated with all 100 sampled claims. Based on our sample results, CMS’s eligib...