New Jersey Claimed Hundreds Of Millions In Unallowable Or Unsupported Medicaid School-Based Reimbursement

On November 15, 2017, the Department of Health and Human Services Office of Inspector General (OIG) released this report, which asserts that the state of New Jersey had claimed hundreds of millions in unallowable or unsupported Medicaid school-based reimbursement. Specifically, OIG found that New Jersey  did not follow federal regulations and Centers for Medicare & Medicaid Services (CMS) guidance when it developed its payment rates for Medicaid school-based services and, as a result, claimed $300.5 million in unallowable costs. OIG recommended that New Jersey refund $300.5 million in federal Medicaid reimbursement claimed based on payment rates . . .