Medicaid Overpayments Made to Hawaii Should Be Disallowed
HRD-85-47
Published: Mar 20, 1985. Publicly Released: Mar 20, 1985.
Skip to Highlights
Highlights
GAO reviewed Hawaii Medicaid operations to determine if federal Medicaid funds were properly used as a secondary resource to pay for medical costs that resulted from motor vehicle accidents.
Recommendations
Recommendations for Executive Action
| Agency Affected | Recommendation | Status |
|---|---|---|
| Health Care Financing Administration | The Administrator of the Health Care Financing Administration (HCFA) should recoup the federal portion of Medicaid payments for which Hawaii did not treat Medicaid as secondary payer and disallow future Medicaid claims of this nature. |
HCFA notified Hawaii that its no-fault insurance statute does not comply with the law and requested a corrective action plan. In December 1986, HCFA conducted an audit to determine the amount of federal funds to disallow. HCFA disallowed the excess payments identified through its audit and required the state to review all claims not in the HCFA sample.
|
Full Report
Public Inquiries
Topics
Health care cost controlHealth insuranceProgram managementState-administered programsMedicaidOverpaymentsAccidentsHealth care servicesMedicaid programState law