Review of Texas Medicaid Claims for 21 to 64 Year Old Residents of Institutions for Mental Diseases Who were Temporarily Released to Acute Care Hospitals

January, 2002Review of Texas Medicaid Claims for 21 to 64 Year Old Residents of Institutions for Mental Diseases Who were Temporarily Released to Acute Care Hospitals Summary of Findings The TDH improperly claimed FFP for clients between the ages of 21 to 64 who were temporarily released from State hospitals, which the Texas Department of Mental Health and Mental Retardation (MHMR) identified as IMDs, to acute care hospitals for medical treatment. The TDH officials disclosed that there were neither edits nor mechanisms within National Heritage Insurance Company's (NHIC) Medicaid Management Information System (MMIS) to detect and prevent FFP from . . .