Maryland Claimed Costs for Unallowable Room and Board and Other Residential Habilitation Costs Under Its Community Pathways Waiver Program, A-03-12-00203

September 9, 2013
The Office of the Inspector General (OIG) for the federal Department of Health and Human Services conducted the review after receiving an allegation that the Maryland Department of Health and Mental Hygiene had claimed unallowable room and board costs for participants in its Community Pathways Waiver program. The review included claims submitted between July 1, 2009 and June 30, 2012; during this period there were 5.4 million claim lines. A claim line represents one day of residential habilitation service. The OIG sampled 100 claim lines from the pool of 5.4 million. Of the 100 claim . . .