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Office of Program Policy Analysis and Government Accountability

Progress Report: Brain and Spinal Cord Injury Program Improves Data Reliability, But Should Increase Medicaid Reimbursements, Report No. 04-66, September 2004
 
Full report in PDF format


Since our 2003 report, the Brain and Spinal Cord Injury Program has improved its performance data reliability by eliminating duplicate client records and retaining documentation for performance measures. However, its efforts to assess client outcomes one year after service completion have been unsuccessful.

The program should take additional steps to recover allowable costs from Medicaid by

  • billing Medicaid for case management services provided to eligible adults, 
  • recouping case management fees paid by Medicaid to the Children’s Medical Services (CMS) Program once the federal government approves CMS’s new billing system, and 
  • pursuing Medicaid reimbursement for costs allowable under the Medicaid waiver when it privatizes oversight and billing.

What were our earlier findings?

Report No. 03-02 Justification Review: Brain and Spinal Cord Injury Program Reports Meeting Goal, Could Recover Additional Revenues, published in January 2003.

Which Government Program Summaries contain related information?

Department of Health

    Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
    e-mail address: oppaga@oppaga.fl.gov


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