Georgia could receive $500M from Medicaid overpayments

Georgia could recoup $500 million from state Medicaid insurers it overpaid in 2020 and 2021, the Albany Herald reported Aug. 1.

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Though insurers Peach State, Amerigroup and CareSource are paid per member per month to provide care to Medicaid members, the companies continued to receive those payments from Medicaid despite a decline in patient visits, the Herald reported.

The return of $202 million from 2020 currently is awaiting approval by CMS, while another $300 million for 2021 is under negotiation. A portion of the money the state gets back likely will be paid to the federal government.

Georgia pays its Medicaid insurers $4 billion annually to provide care to low-income populations, according to the Herald.   

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