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.  

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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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