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Review of Medicaid Payments for Services Provided Under New Jersey’s Section 1915(c) Community Care Waiver Program From January 1, 2005, Through December 31, 2007 (A-02-10-01029)

Review of Medicaid Payments for Services Provided Under New Jersey’s Section 1915(c) Community Care Waiver Program From January 1, 2005, Through December 31, 2007 (A-02-10-01029)

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Published by Beverly Tran
Based on our sample results, we estimated that the State agency improperly claimed $60,740,637
in Federal Medicaid reimbursement for CCW program services that did not comply with certain
Federal and State requirements during calendar years 2005 through 2007.
Based on our sample results, we estimated that the State agency improperly claimed $60,740,637
in Federal Medicaid reimbursement for CCW program services that did not comply with certain
Federal and State requirements during calendar years 2005 through 2007.

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Published by: Beverly Tran on Apr 27, 2012
Copyright:Attribution Non-commercial

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05/13/2014

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 April 20, 2012
TO:
Marilyn TavennerActing AdministratorCenters for Medicare & Medicaid Services
FROM: / 
Daniel R. Levinson/ Inspector General
SUBJECT:
Review of Medicaid Payments for Services Provided Under New Jersey’sSection 1915(c) Community Care Waiver Program From January 1, 2005,Through December 31, 2007 (A-02-10-01029)Attached, for your information, is an advance copy of our final report on Medicaid payments forservices provided under New Jersey’s section 1915(c) Community Care Waiver program. Wewill issue this report to the New Jersey Department of Human Services within 5 business days.If you have any questions or comments about this report, please do not hesitate to call me, oryour staff may contact Brian P. Ritchie, Assistant Inspector General for the Centers for Medicare& Medicaid Audits, at (410) 786-7104 or through email at Brian.Ritchie@oig.hhs.gov or James P. Edert, Regional Inspector General for Audit Services, Region II, at (212) 264-4620 orthrough email at James.Edert@oig.hhs.gov.Please refer to report number A-02-10-01029. Attachment
 
 
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Report Number: A-02-10-01029Ms. Jennifer Velez, Esq.CommissionerNew Jersey Department of Human Services222 South Warren StreetP.O. Box 700Trenton, NJ 08625-0700Dear Ms. Velez:Enclosed is the U.S. Department of Health and Human Services (HHS), Office of InspectorGeneral (OIG), final report entitled
 Review of Medicaid Payments for Services Provided Under  New Jersey’s Section 1915(c) Community Care Waiver Program From January 1, 2005,Through December 31, 2007 
. We will forward a copy of this report to the HHS action officialnoted on the following page for review and any action deemed necessary.The HHS action official will make final determination as to actions taken on all matters reported.We request that you respond to this official within 30 days from the date of this letter. Yourresponse should present any comments or additional information that you believe may have abearing on the final determination.Section 8L of the Inspector General Act, 5 U.S.C. App., requires that OIG post its publiclyavailable reports on the OIG Web site. Accordingly, this report will be posted at
 
http://oig.hhs.gov. If you have any questions or comments about this report, please do not hesitate to call me, orcontact Brenda Tierney, Audit Manager, at (518) 437-9390, extension 222, or through email atBrenda.Tierney@oig.hhs.gov.Please refer to report number A-02-10-01029 in allcorrespondence.Sincerely, /James P. Edert/ Regional Inspector Generalfor Audit ServicesEnclosure
 
Page 2 – Ms. Jennifer Velez, Esq.
Direct Reply to HHS Action Official:
Ms. Jackie GarnerConsortium AdministratorConsortium for Medicaid and Children’s Health OperationsCenters for Medicare & Medicaid Services233 North Michigan Avenue, Suite 600Chicago, IL 60601

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