AUGUSTA, Maine (AP) — The federal government is asking Maine to refund $9.2 million because of errors in calculating claims in the state's Medicaid program.
The U.S. Department of Health and Human Services posted a report on its website Thursday saying Maine's health and human services agency did not always use the correct percentage when processing claim adjustments in the Federal Medical Assistance Program. The government said that as a result, the state incorrectly claimed nearly $9.2 million for Medicaid claim adjustments.
The federal report is based on an audit by the Inspector General's office of 637,057 claims in Maine for medical assistance to low-income and disabled people from 2005 through 2009, in which only 10 percent were found to have been processed correctly.
In a written response to the findings, the state agency agreed to work with the federal government to refund identified overpayments and to determine the proper processing and reporting of future adjustments.
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