According to the HHS Office of Inspector General, between fiscal years 2009 and 2011, Maryland received almost $12.9 billion in federal Medicaid matching dollars. However, CMS calculated the state recorded hundreds of millions of dollars less in actual Medicaid expenditures.
The $115.3 million discrepancy occurred due to errors Maryland officials made in quarterly reconciliation statements to CMS. Those statements essentially calculate how much the federal government should match to what the state has already paid for Medicaid expenses.
The OIG said Maryland’s Medicaid program should refund all money to the federal government and ensure all future Medicaid reports are accurate and make the right adjustments to calculate for federal matching funds. Maryland officials agreed with all of the OIG’s recommendations.
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