Michigan Made Capitation Payments To Managed Care Entities After Beneficiaries’ Deaths

Previous audits conducted by the Office of the Inspector General found that a number of states had improperly paid Medicaid managed care organizations capitation payments on behalf of deceased beneficiaries. As a result of these audits, a similar audit of those payments in Michigan was conducted. The objective was to determine whether Michigan made capitation payments on behalf of deceased beneficiaries. The audit covered 115,053 capitation payments, totaling $43.9 million, with service dates from January 1, 2014, through December 31, 2016 (audit period), made on behalf of beneficiaries reported as deceased. To identify the population of beneficiaries reported . . .