Fed Regist. 1983 Apr 5;48(66):14664-8.
We are proposing an amendment to Medicaid regulations which would require the States to establish procedures to identify overpayments to providers of services and report them to HCFA. The amendment would revise current policy that requires medical assistance grant awards to be reduced at the time overpayments are reported. The proposed regulations provide that provider overpayments would not be offset against a grant award until the States have had a reasonable period of time to verify and resolve the debt (i.e., 12 months for institutional providers and 90 days for non-institutional providers). Some States do not have effective mechanisms for identifying and reporting overpayments, and some States do not report overpayments timely. The purpose of these proposed regulations is to reduce program costs to both the State and Federal governments by assuring that all overpayments are identified and reported promptly, and that grant awards are adjusted appropriately, and thereby to encourage States to establish or improve controls that will reduce the number and amount of ovepayments.
我们提议对医疗补助法规进行修订，要求各州制定程序，以识别向服务提供者的多付款项，并将其报告给医疗保健财务管理局（HCFA）。该修正案将修订现行政策，现行政策要求在报告多付款项时减少医疗援助拨款。拟议法规规定，在各州有合理时间核实并解决债务之前（即机构提供者为12个月，非机构提供者为90天），提供者的多付款项不会从拨款中抵消。一些州没有识别和报告多付款项的有效机制，一些州也不及时报告多付款项。这些拟议法规的目的是通过确保及时识别和报告所有多付款项，并适当调整拨款，从而降低州和联邦政府的项目成本，进而鼓励各州建立或改进控制措施，以减少多付款项的数量和金额。
