Indiana Improperly Claimed Federal Reimbursement For Most Medicaid Inpatient Psychiatric Hospital Service & Disproportionate Share HospitalPayments To Evansville Psychiatric Children’s Center

June 14, 2013
Auditors for the federal Department of Health and Human Services, Office of the Inspector General (OIG) evaluated the facility’s compliance between January 1, 2006 and December 31, 2010 with the basic Medicare Conditions of Participation (CoP) and the two special Medicare CoP applicable to psychiatric hospitals, as released in 2008. Although the Evansville Psychiatric Children’s Center only serves children and does not bill Medicare, Medicaid rules require that psychiatric hospitals seeking reimbursement for inpatient hospital services meet the Medicare CoP. The OIG found that the facility did not meet the CoP.
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