Medicaid agencies are having a difficult time imposing payment suspensions on providers against which there is credible allegation of fraud, according to a new government watchdog report.
The report (PDF), from the Department of Health and Human Services’ Office of Inspector General, examined self-reported case data from both Medicaid agencies and Medicaid Fraud Control Units (MFCUs) for fiscal year 2014. During that time, 41 out of the 56 agencies said they imposed 10 or fewer payment suspensions. In addition, just two agencies reported imposing more than 50 payment suspensions each.