A number of states still do not report required quarterly data about services provided to Medicaid beneficiaries enrolled in managed care—information that’s crucial to running Medicaid and protecting it from fraudsters, according to a study HHS’ Office of Inspector General released Monday.
States have gotten better in recent years at reporting encounter data—information detailing services provided to beneficiaries in capitated managed-care programs. But work remains, and the CMS should do more to improve reporting, according to the report.
http://www.modernhealthcare.com/article/20150706/NEWS/150709966