Oklahoma Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service & Disproportionate ShareHospital Payments to Children’s Recovery Center (A-05-12-00052)

March 15, 2013
Oklahoma’s Medicaid program owes $6.2 million to the federal Medicaid program for inpatient psychiatric hospital services provided by a state-owned youth addiction treatment facility that had the wrong type of accreditation for Medicaid participation between 2006 and 2010. The services were provided by Children’s Recovery Center of Oklahoma (CRCO); the facility participates in Medicaid, but not the Medicare program. The facility had been accredited by the Joint Commission under the Commission’s Comprehensive Accreditation Manual for Behavioral Health Care standards. Inpatient facilities participating in Medicaid, but not Medicare, must still meet the Medicare . . .