DMOs Find Less than $400,000 in Medicaid Fraud in 2020

Texas HHS-OIG has just published its report for 2020 on Medicaid fraud uncovered and reported by MCOs in Texas.

The report shows that DentaQuest and MCNA found only $234,098 and $127,264 in Medicaid fraud, respectively for 2020. According to the report, the “totals reflect overpayments reported as recovered by Special Investigative Units on investigations that were not referred to the OIG or were referred but returned to the MCO.”

That’s almost half what they reported for 2019, a total of $799,000, for both companies.

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