Missouri Claimed Unallowable Medicaid Payments for Individuals With Intellectual and Developmental Disabilities in Intermediate Care Facilities

July 11, 2013
During state fiscal year 2011, the Missouri Department of Department of Social Services (DSS) claimed unallowable Medicaid payments of $10 million for care provided to residents of state-operated intermediate care facilities for people with developmental disabilities (ICF/DD). The state's claims were reviewed by the federal Department of Health and Human Services Office of the Inspector General (OIG) to determine if Missouri's ICF/DD rates were reasonable. The OIG said the rates were reasonable, but the review revealed that the state had claimed federal Medicaid reimbursement for the same claims during two different reporting . . .