Federal Audit of New Jersey School-Based Medicaid Programs Seeks $300M in Paybacks
The federal Office of Inspector General (OIG) released audit findings of New Jersey’s school-based Medicaid programs in which they request the state refund over $300 million.
Specifically, OIG determined:
- PCG, the state’s contractor, improperly altered school employees’ responses to timestudies to indicate that their activities were directly related to providing Medicaid services when the responses indicated the activities were unrelated;
- New Jersey improperly incorporated into its payment rates more than $400 million owed to the school employees’ pension fund despite not having made scheduled payments to the fund in nearly 20 years; and
- Salaries of some employees who did not provide health-related services were incorporated into the payment rates.
- New Jersey did not maintain documentation related to the timestudies, which it used to identify the percentage of time personnel provided particular services.
Read a summary of the audit findings here…
Read the full report here, including New Jersey’s response to OIG’s findings…