Glasgow Daily Times, Glasgow, KY

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January 24, 2013

State may have to return Medicaid overpayments

FRANKFORT — At a time when the state is scrambling for revenue and wrestling with Medicaid costs and managed care, it might have to repay $60 million in federally disallowed supplemental payments to primary care centers.

State Medicaid Commissioner Lawrence Kissner earlier this month sent a letter to the primary care centers informing them the federal Center for Medicare and Medicaid Services (CMS) would not approve such payments if the center isn’t certified by the federal government. The letter said payments to non-certified centers will cease as of Feb. 1.

CNHI News obtained a copy of another document, titled “draft for internal discussions only,” which was circulated among legislative leaders outlining the change by CMS and raising the possibility the money might have to be repaid.

The document and spokespersons for the Cabinet for Health and Family Services and the Budget Director’s Office indicated Kentucky had not yet been asked to repay the money — and may not be.

A Center for Medicare and Medicaid Services spokesman in Washington would not say if the state would ultimately be asked to repay the $60 million.

For the full story, see the print or e-edition of Friday's Glasgow Daily Times.

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