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Providers booted from state Medicaid programs still drawing funds from other states
Modern Healthcare

About 12% of providers kicked out of their state Medicaid programs for fraud, integrity or quality issues are still participating in other states’ Medicaid programs, according to a report released Tuesday by HHS‘ Office of Inspector General.According to the report, 295 providers across the country who were terminated from their states’ Medicaid programs for cause in 2011 were still billing other states’ Medicaid programs in 2014. Under the Affordable Care Act, states are supposed to pull providers’ from their Medicaid rolls if they’ve already been removed from another state’s program for fraud, integrity or quality problems.

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