Over 90% Of New Hampshire Medicaid Opioid Treatment Claims Failed To Meet Requirements

About 94% of Medicaid claims submitted by New Hampshire opioid treatment programs (OTPs) failed to meet federal or state Medicaid requirements. During the three-year audit period, the three New Hampshire OTPs submitted nearly 2.3 million service claims, for which the state agency and the state’s Medicaid managed care organizations (MCOs) paid more than $22.0 million. As a result, the state owes the Centers for Medicaid & Medicare Services (CMS) a refund of $7.9 million for the federal share of OTP services provided between July 1, 2016, through June 30, 2019.

For 93% of services, the . . .