California, Other States Reimburse Providers Who Were Banned From Medicaid in Other States
About 300 providers banned from participating in Medicaid in one state still were able to receive Medicaid reimbursements from another state, despite regulations designed to prohibit it, according to a report from HHS' Office of Inspector General. For instance, New Mexico provided Medicaid reimbursements to 33 providers who had been banned from another state's Medicaid program -- the most in the country. Meanwhile, California paid out $1.7 million to providers who had been banned in other states -- the highest reimbursement total in the nation.
- "Banned Medicaid Providers Still Participate in Some States, Report Says" (Cooke/Pell, Reuters, 8/5).