Corporate Compliance

Audit of Minnesota Medicaid Reimbursement for Targeted Case Management Services for Fiscal Years 2003 and 2004

Compliance Monitor, November 14, 2007

The OIG found the State agency claimed $7,311,860 for Medicaid reimbursement of TCM services that were unallowable.

The OIG recommended that:

  • Minnesota refund the Federal Government the $3,759,338 for undocumented and unsupported TCM services
  • Ensure that TCM services claimed under the Medicaid program are properly documented and meet Federal and State requirements

The OIG reviewed 118 claims in 100 sample beneficiary-months, and 7 claims were found to be unallowable because the services weren't supported by the case records or they weren't correctly documented.

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