ID error causes Florida to incorrectly pay Medicaid organizations

Florida made almost $4 million in incorrect payments to Medicaid managed care organizations, according to an audit by HHS' Office of Inspector General.  

The error happened because Florida was making capitation payments on behalf of beneficiaries who were incorrectly assigned more than one Medicaid identification number. OIG said Florida required a matching algorithm that was significantly more complex than the one it was using.

The audit covered about $43.2 billion in Medicaid capitation payments made between 2014 and 2017. Florida agreed to refund the federal government.

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