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HHS Audit Reports Over 1 Year Old With Outstanding Balances To Be Collected As of September 30, 2009

 

Summary of OPDIV Audit Reports
Over One Year Old With Outstanding Balances to be Collected
As of September 30, 2009

OpDiv/ StaffDiv

Number of Reports

Amount to be Collected

ACF46158,717,476
CDC192,186,289
CMS992,286,370,000
IHS2475,773
OPHS131,180
OS111,261,824
PSC-DCA112,850,856
SAMHSA4327,003
   
Total183$2,462,220,401



 

 

HHS Audit Reports Over 1 Year Old With Outstanding Balances To Be Collected
As of September 30, 2009

OpDiv /
StaffDiv

Audit
Report #

Auditee

Issue Date

Amount

Note

ACF

01-06-02510

State of FL

Jun-08

3,455,839

1

ACF

01-07-02503

State of RI

Jun-08

2,242,010

1

ACF

02-04-76845

Educational Found PR Inc.

Sep-07

142,778

4

ACF

02-04-77814

Powhatan Renape Nation

Jan-08

101,164

4

ACF

02-04-77814

Powhatan Renape Nation

Dec-07

25,000

1

ACF

02-04-79560

Lutheran Soc Ser VI

Sep-06

1,030,194

12

ACF

02-05-82077

Educational Found PR Inc.

Sep-07

54,113

12

ACF

02-05-82129

Powhatan Renape Nation

Feb-06

40,627

2

ACF

02-06-84920

Municipality of Ponce

Dec-07

656,767

6

ACF

02-07-02003

Municipality of Santa ISAB

Sep-08

330,355

5

ACF

02-91-14405

Bedford Stuyvesant/OCS

Mar-92

34,593

3

ACF

03-01-00555

Preeschool Dev Prog

Jul-03

58,116

2

ACF

03-03-73256

Lawrence County HS, Inc.

Jun-03

148,663

12

ACF

03-03-73829

Preeschool Dev Prog

Jul-03

961,497

2

ACF

03-03-74937

Preeschool Dev Prog

Sep-03

448,772

2

ACF

03-04-75628

Preeschool Dev Prog

Sep-03

800,000

2

ACF

03-05-00551

Arlington Community Act Inc.

Mar-07

520,036

12

ACF

03-05-03317

Juniata County Child Care

Jun-06

108,905

2

ACF

03-06-82807

Learning Systems Group

Jul-06

84,343

2

ACF

03-06-84529

Council of Southern Mount

Mar-07

7,239

4

ACF

04-96-00105

Delta Foundation

Apr-99

1,225,291

2

ACF

05-02-00031

State of WI

Sep-05

10,711,338

4

ACF

05-02-70919

River East Economic

Apr-06

235,722

12

ACF

05-05-79352

Saginaw County

Aug-05

64,000

4

ACF

05-05-81820

State of OH

Apr-06

129,571,834

13

ACF

06-00-62531

Five Sandoval Pueblos Indian Tribe

Oct-00

13,958

2

ACF

06-02-70441

Five Sandoval Pueblos Indian Tribe

Apr-03

67,998

2

ACF

06-03-74890

Northeast Louisiana Delta

Sep-06

17,476

2

ACF

06-04-76438

Northeast Louisiana Delta

Sep-06

418,850

2

ACF

06-05-82262

Oklahoma Department of HS

May-06

14,958

13

ACF

06-06-82343

Seminole Nation of OK

Aug-06

91,538

4

ACF

06-90-00052

Mexican Amer/Discret

Apr-92

107,660

3

ACF

06-97-47657

Five Sandoval Pueblos Indian Tribe

Nov-99

46,660

2

ACF

07-04-02016

KCMC Child Development Corp.

Sep-06

497,253

14

ACF

07-08-89936

South Side Day Nursery

Aug-08

28,749

4

ACF

08-04-76917

Oglala Sioux Tribe

Apr-06

225,828

2

ACF

08-04-78830

Oglala Sioux Tribe

Apr-04

240,130

2

ACF

08-04-79019

Oglala Sioux Tribe

May-06

265,583

2

ACF

09-04-77608

Torres Martinez Cahuilla

Nov-04

625,388

13

ACF

09-04-78831

Navajo Nation

Oct-04

56,505

13

ACF

09-05-80504

Torres Martinez Desert

Jun-05

2,675,468

13

ACF

09-07-87162

Teen Awareness Inc.

Apr-08

5,500

12

ACF

09-98-00065

Latino Resource Org.

Mar-04

95,102

2

ACF

09-99-52846

Inter Tribal Council of CA

Jul-05

68,487

4

ACF

10-05-80407

First AME Child Devel Ctr

Dec-06

50,999

4

ACF

10-05-81723

Conf TRB & BND Yakama Ind.

Mar-08

44,190

12

 

 

 

Total for ACF

158,717,476

 

CDC

A-01-96-37165

Haitian American Public Health Initiative

Mar-96

20,209

5

CDC

A-03-06-83834

Government of the District of Columbia

Sep-06

1,606,868

5

CDC

A-03-98-50835

National Organization of Black County Officials

Feb-98

19,385

5

CDC

A-03-98-50836

National Organization of Black County Officials

Feb-98

27,140

5

CDC

A-03-98-50837

National Organization of Black County Officials

Feb-98

1,078

5

CDC

A-03-98-51634

City of Philadelphia, PA

Feb-98

93,690

5

CDC

A-03-99-56842

National Association for Equal Opportunity in Higher Education

Feb-99

33,585

5

CDC

A-04-05-80121

Louisville/Jefferson County Metro Government

Dec-05

34,968

5

CDC

A-04-06-84817

State of FL

May-06

87,949

5

CDC

A-06-05-82165

State of TX

Sep-06

45,211

5

CDC

A-07-06-85635

Sisters of Mercy Health System, Inc.

Aug-06

15,985

5

CDC

A-08-07-86337

Aberdeen Area Tribal Chairmen’s Health Board

Nov-06

45,571

5

CDC

A-09-03-74192

Republic of Palau

Dec-05

6,500

5

CDC

A-09-05-79628

Republic of Palau

Dec-05

111,464

5

CDC

A-09-05-82341

Republic of Palau

Dec-05

2,702

5

CDC

A-09-07-85769

Republic of Palau

Oct-06

15,375

5

CDC

A-10-98-53017

Self Enhancement, Inc.

Apr-98

6,868

5

CDC

A-10-98-53018

Self Enhancement, Inc.

Apr-98

3,452

5

CDC

A-10-98-53162

People of Color Against AIDS Network

Apr-98

8,289

5

 

 

 

Total for CDC

2,186,289

 

CMS

A-01-02-00016

State of MA

Sep-04

5,312,447

15

CMS

A-01-02-00513

Medicare Pt. B Services for SNF System

May-04

103,956,458

5

CMS

A-01-02-00516

United Government Services

Mar-03

1,768,783

9

CMS

A-01-04-00006

State of MA

May-06

86,645,347

7

CMS

A-01-04-00012

State of MA

Mar-06

133,169

15

CMS

A-01-04-00513

Medicare Pt. B Payments for Ambulance Services to Beneficiaries

Mar-06

12,110,072

5

CMS

A-01-04-00527

Review of Home Health Agencies' Billing for Services Preceded by a Hospital Discharge

Mar-06

48,135,395

5

CMS

A-01-04-00528

Medicare Pt. B Payments for Radiology Services for 2001 through 2003

Aug-06

7,757,254

5

CMS

A-01-05-00001

State of NH

Jul-07

35,325,468

9

CMS

A-01-05-00004

Maine Department of Health and Human Services

Dec-07

38,087,280

15

CMS

A-01-05-00511

Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Made on Behalf of Beneficiaries in

Jun-07

111,114,813

5

CMS

A-01-06-00502

National Heritage Insurance Company

Dec-06

4,030,166

5

CMS

A-01-06-00503

Payments for Medicare Pt. B Services Made on Behalf of Beneficiaries in SNF Stays Covered Under Part A

Jan-08

124,800,000

5

CMS

A-01-07-00510

Mutual of Omaha

Jul-07

374,945

15

CMS

A-01-07-00512

NHIC, Corp., MA

Nov-07

279,423

5

CMS

A-01-07-88272

State of CT

May-07

32

10

CMS

A-02-02-01029

New York State Department of Health

Jun-05

435,903,456

5

CMS

A-02-02-01030

New York State Department of Health

Feb-04

172,553,831

5

CMS

A-02-03-01003

New Jersey Department of Human Services

May-06

50,500,277

15

CMS

A-02-03-01008

New York State Department of Health

Aug-04

53,037,302

5

CMS

A-02-03-01023

NY City Department of Education

Sep-05

108,241,199

5

CMS

A-02-05-01016

New Jersey Department of Human Services

May-08

4,346,987

5

CMS

A-02-06-01006

New Jersey Department of Human Services

Jan-08

7,978,278

5

CMS

A-02-07-01043

National Government Services, Inc.

Apr-08

330,030

9

CMS

A-02-07-01044

National Government Services, Inc.

May-08

1,269,719

9

CMS

A-03-01-00225

Virginia Department of Medical Assistance Services

Mar-04

3,948,532

1

CMS

A-03-01-00228

Pennsylvania Department of Public Welfare

Jul-05

1,694,148

1

CMS

A-03-03-00220

State of DE

Jan-06

2,916,288

8

CMS

A-03-05-00206

Maryland Department of Health and Mental Hygiene

May-07

32,760,910

1

CMS

A-03-06-00005

Claim Payment Adjustments Identified by Quality Improvement Organizations

Nov-07

290,572

5

CMS

A-03-07-00022

CareFirst Blue Cross Blue Shield of Maryland

Jan-08

20,427

9

CMS

A-04-00-01210

Medicare's Postacute Care Transfer Policy at Blue Cross Blue Shield of Georgia

Dec-00

891,000

15

CMS

A-04-00-02162

First Coast Service Options

Feb-01

2,004,272

15

CMS

A-04-01-00005

North Carolina Department of Health and Human Services

May-04

2,785,151

15

CMS

A-04-02-07007

State of FL

Feb-03

2,231,100

16

CMS

A-04-03-00018

Palmetto GBA

Feb-04

57,861

16

CMS

A-04-04-00008

Nationwide Review of Inpatient Rehabilitation Facilities' Compliance with Medicare's Transfer Regulation

Sep-06

4,359,029

15

CMS

A-04-04-03000

Medicare's Postacute Care Transfer Policy for Fiscal Years 2001 and 2002

Apr-05

37,901,885

15

CMS

A-04-04-06012

University of California San Francisco Medical Center

Jul-06

3,904,526

5

CMS

A-04-04-78917

State of FL

Aug-04

36,281

5

CMS

A-04-05-79569

State of MS

Oct-04

949,695

5

CMS

A-04-95-02110

SC BC (Hospice of Lake & Sumter, Inc.) - ORT

Nov-96

4,000,000

15

CMS

A-04-95-02111

SC BC (Hospice of Florida Suncoast, Inc.) - ORT

Aug-96

14,800,000

15

CMS

A-04-97-02130

Mutual of Omaha (FL Adult Care Enterprise)

Apr-98

1,709,245

5

CMS

A-04-97-02138

Mutual of Omaha (Silver Springs Health Cntr.) - ORT

Jan-98

2,382,527

5

CMS

A-05-01-00099

Illinois Department of Public Aid

Oct-05

140,281,912

15

CMS

A-05-01-00102

Illinois Department of Public Aid

Oct-04

4,516,112

15

CMS

A-05-01-65324

State of IN

Feb-01

6,305,406

5

CMS

A-05-01-68896

State of IN

Sep-01

292,714

5

CMS

A-05-05-00018

Michigan Department of Community Health

Feb-06

955,060

8

CMS

A-05-05-00057

State of IN

Apr-07

21,298,841

5

CMS

A-05-05-00059

State of MN

Oct-07

3,759,338

15

CMS

A-05-07-00023

Minnesota Department of Human Services

Jan-08

301,001

5

CMS

A-05-07-87844

State of MI

Jun-07

110,900,000

15, 5

CMS

A-05-07-88075

State of IN

May-07

18,849,134

5

CMS

A-06-03-75545

Louisiana Department of Health and Hospitals

May-03

362,053,628

1

CMS

A-06-05-81865

State of LA

Jun-05

252,945

16

CMS

A-06-05-82262

State of OK

Aug-05

31,588

8

CMS

A-06-07-00056

TrailBlazer Health Enterprises, TX

Apr-08

283,426

5

CMS

A-06-07-86445

State of LA

Nov-06

45,969

16

CMS

A-06-07-88133

State of Oklahoma Office of State Finance

May-07

274

8

CMS

A-06-95-00095

Palmetto GBA (Fam. Hospice/Dallas) - ORT

Jan-97

871,306

15

CMS

A-06-96-00027

Palmetto GBA (VNA of TX Hospice) - ORT

Jan-97

1,156,341

15

CMS

A-07-00-00108

Review of Rural Health Clinic Medicare Claims for Calendar Years 1997, 1998, and 1999

Oct-01

2,762,969

15

CMS

A-07-01-02093

State of MO

Aug-02

14,838,661

15

CMS

A-07-02-03033

CareFirst - Pension Segmentation

May-03

6,788,644

9

CMS

A-07-03-02011

Iowa Department of Human Services

Oct-06

3,521,032

8

CMS

A-07-03-02657

Cigna Healthcare Medicare Administration

Dec-02

617

16

CMS

A-07-03-02665

Wisconsin Physicians Services

Jan-03

106,363

9

CMS

A-07-03-03039

CareFirst - Unfunded Pension Costs

May-03

2,611,100

9

CMS

A-07-04-03058

Missouri Department of Social Services

Aug-07

1,355,942

5

CMS

A-07-05-00191

Premera Blue Cross - Terminated Contractor

Jul-06

190,637

11

CMS

A-07-05-01016

Review of Fee-for-Service Payments for Medicare Beneficiaries Enrolled in Managed Care Risk Plans

Nov-06

4,553,997

5

CMS

A-07-05-03062

Iowa Department of Human Services

Apr-06

671,759

15

CMS

A-07-05-03066

Missouri Department of Social Services

Aug-06

525,249

15

CMS

A-07-05-03071

Missouri Department of Social Services

May-05

715,377

5

CMS

A-07-05-04048

Colorado Department of Health Care Policy & Financing

Nov-05

1,925,367

8

CMS

A-07-05-82158

State of MO

Jul-05

928,949

8

CMS

A-07-06-00216

Blue Cross Blue Shield of Arizona - Terminated Contractor

Aug-06

142,343

11

CMS

A-07-06-01029

Missouri Department of Social Services

Mar-07

8,235,595

15

CMS

A-07-06-03075

Missouri Department of Social Services

Oct-06

1,065,655

8

CMS

A-07-06-03078

Iowa Department of Human Services

Nov-07

1,706,269

8

CMS

A-07-07-00235

Blue Cross Blue Shield of South Carolina

Oct-07

1,847,056

11

CMS

A-07-07-04113

Colorado Department of Health Care Policy & Financing

Feb-08

459,604

16

CMS

A-07-08-04132

Wisconsin Physician Services

Jul-08

221,649

16

CMS

A-07-08-04133

Wisconsin Physician Services

Jul-08

982,264

16

CMS

A-07-92-00608

Blue Cross Blue Shield of Missouri - Denied Outpatient Claims

Jan-93

960,615

15

CMS

A-07-96-01189

Blue Cross Blue Shield of Washington/Alaska - Pension Segmentation

Mar-97

96,740

11

CMS

A-07-97-01205

Blue Cross Blue Shield of Washington/Alaska - Pension Costs

Mar-97

15,688

11

CMS

A-07-97-01206

Blue Cross Blue Shield of Washington/Alaska - Unfunded Pension Costs

Mar-97

106,843

11

CMS

A-08-07-88136

State of ND

May-07

225,230

8

CMS

A-09-01-00055

State of CA

Mar-02

267,404

9

CMS

A-09-03-00042

United Government Services

Feb-04

5,362,587

9

CMS

A-09-07-88410

State of CA

Jun-07

3,477,825

9

CMS

A-10-03-00011

Regence Blue Cross Blue Shield of Oregon

Apr-05

7,320,614

15

CMS

A-10-05-82644

State of AK

Aug-05

5,505,244

8

CMS

A-10-06-85755

State of Washington, Department of Social and Health Services

Aug-06

43,234

8

CMS

A-10-07-88006

State of WA

Apr-07

531,462

8

CMS

A-10-08-88780

State of AK

Oct-07

508,841

16

 

 

 

Total for CMS

2,286,370,000

 

IHS

10-97-41196

Confederated Tribes and Bands of the Yakama Nation

Feb-97

42,234

5

IHS

10-98-51043

Nooksack Indian Tribe

May-98

433,539

5

 

 

 

Total for IHS

475,773

 

OPHS

A-06-03-74833

Amigos Volunteers in Education and Services

Apr-03

31,180

5

 

 

 

Total for OPHS

31,180

 

OS

02-06-82734

Ponce Medical School

Apr-06

27,934

4

OS

06-06-85640

Kiowa Tribe of Oklahoma

Aug-07

22,344

4

OS

06-07-86409

New Mexico Human Service Department

Dec-06

3,118

4

OS

07-03-02008

Kansas Advocacy Service

Aug-04

355,997

1

OS

08-05-79978

Crow Creek Sioux

Aug-05

7,500

5

OS

09-02-70938

Pascue Yaqui Tribe of Arizona

Jun-02

1,729

4

OS

09-07-85769

Republic of Palau

Oct-06

115,764

5

OS

09-97-48247

Karidat

Dec-97

50,612

17

OS

09-97-48966

Karidat

Jan-98

2,234

17

OS

09-98-52613

Marianas

Dec-98

639,432

6

OS

10-02-71415

Nooksack India Tribe

Dec-02

35,160

4

 

 

 

Total for OS

1,261,824

 

PSC-DCA

03-90-00453

State of WV

Mar-91

12,850,856

7

 

 

 

Total for PSC-DCA

12,850,856

 

SAMHSA

A-04-04-78451

First Coast Counseling & Education Center 

Mar-05

130,073

2

SAMHSA

A-04-93-04183

Columbus County Services Management 

Jan-95

29,873

4

SAMHSA

A-05-06-00052

Recovery Resource Center

Feb-08

89,681

5

SAMHSA

A-08-03-74080

Oglala Sioux Tribe

Nov-04

77,376

2

 

 

 

Total for SAMHSA

327,003

 

 

 

 

 

 

 

 

 

 

Total for HHS

2,462,220,401

 

Notes:

  1. Appeal process.
  2. Referred to Department of Justice (DOJ).
  3. Referred to DOJ/payment plan.
  4. Payment plan.
  5. Pursuing collection.
  6. Transferred to Treasury Offset Program.
  7. In District Court.
  8. Additional documentation has been provided by the State or contractor. OIG and/or HHS Agency reviewing.
  9. HHS agency is in process of negotiating or determining outstanding overpayment amount and/or payment options.
  10. HHS agency will verify that corrective action has been completed by the fiscal intermediary.
  11. HHS Agency is developing a formula to settle all waivers regarding pension segmentation and/or unfunded pension costs.
  12. Prepare DOJ/Pending DOJ (PSC preparing to send to DOJ/PSC awaiting decision from DOJ)
  13. TANF/D4 (TANF Penalty Offset; debt is reduced depending on information received via the grantee's 269/272 report)
  14. Bankruptcy (stay in effect, not pursuant of collections; case is not referred to DOJ)
  15. Awaiting a decision by the Agency and/or the OGC.
  16. Timing issue - closed per the most recent Audit Status Follow-up Report (ASFR) or an OCD.
  17. In suspense pending outcome of final collection letter (sent on 10/28/09)

 

Summary of Breakdown by Organization Type

 

State & Local (1)

Hospital /Medical Organization (2)

Nonprofit (3)

Indian Tribes (4)

Educational Organizations (5)

TOTAL

#

77

47

26

23

10

183

$

$1,924,430,670

$524,694,329

$5,096,968

$5,253,977

$2,744,457

$2,462,220,401



 

 

Breakdown by Organization Type

OpDiv /
StaffDiv

Audit
Report #

Auditee

 

State & Local (1)

Hospital /Medical Organization (2)

Nonprofit (3)

Indian Tribes (4)

Educational Organizations (5)

ACF

01-06-02510

State of FL

1

3,455,839.00

    

ACF

01-07-02503

State of RI

1

2,242,010.00

    

ACF

02-04-76845

Educational Found PR Inc.

5

    

142,778.00

ACF

02-04-77814

Powhatan Renape Nation

4

   

101,164.00

 

ACF

02-04-77814

Powhatan Renape Nation

4

   

25,000.00

 

ACF

02-04-79560

Lutheran Soc Ser VI

3

  

1,030,194.00

  

ACF

02-05-82077

Educational Found PR Inc.

5

    

54,113.00

ACF

02-05-82129

Powhatan Renape Nation

4

   

40,627.00

 

ACF

02-06-84920

Municipality of Ponce

1

656,767.00

    

ACF

02-07-02003

Municipality of Santa ISAB

1

330,355.00

    

ACF

02-91-14405

Bedford Stuyvesant/OCS

3

  

34,593.34

  

ACF

03-01-00555

Preeschool Dev Prog

5

    

58,116.00

ACF

03-03-73256

Lawrence County HS, Inc.

3

  

148,663.00

  

ACF

03-03-73829

Preeschool Dev Prog

5

    

961,497.00

ACF

03-03-74937

Preeschool Dev Prog

5

    

448,772.00

ACF

03-04-75628

Preeschool Dev Prog

5

    

800,000.00

ACF

03-05-00551

Arlington Community Act Inc.

3

  

520,036.00

  

ACF

03-05-03317

Juniata County Child Care

3

  

108,905.00

  

ACF

03-06-82807

Learning Systems Group

5

    

84,343.00

ACF

03-06-84529

Council of Southern Mount

3

  

7,239.32

  

ACF

04-96-00105

Delta Foundation

3

  

1,225,291.00

  

ACF

05-02-00031

State of WI

1

10,711,338.00

    

ACF

05-02-70919

River East Economic

3

  

235,722.00

  

ACF

05-05-79352

Saginaw County

1

64,000.00

    

ACF

05-05-81820

State of OH

1

129,571,834.00

    

ACF

06-00-62531

Five Sandoval Pueblos Indian Tribe

4

   

13,958.34

 

ACF

06-02-70441

Five Sandoval Pueblos Indian Tribe

4

   

67,998.00

 

ACF

06-03-74890

Northeast Louisiana Delta

3

  

17,476.00

  

ACF

06-04-76438

Northeast Louisiana Delta

3

  

418,850.00

  

ACF

06-05-82262

Oklahoma Department of HS

1

14,958.00

    

ACF

06-06-82343

Seminole Nation of OK

4

   

91,537.63

 

ACF

06-90-00052

Mexican Amer/Discret

3

  

107,659.74

  

ACF

06-97-47657

Five Sandoval Pueblos Indian Tribe

4

   

46,660.00

 

ACF

07-04-02016

KCMC Child Development Corp.

3

  

497,253.00

  

ACF

07-08-89936

South Side Day Nursery

3

  

28,748.90

  

ACF

08-04-76917

Oglala Sioux Tribe

4

   

225,828.00

 

ACF

08-04-78830

Oglala Sioux Tribe

4

   

240,130.00

 

ACF

08-04-79019

Oglala Sioux Tribe

4

   

265,583.00

 

ACF

09-04-77608

Torres Martinez Cahuilla

4

   

625,388.00

 

ACF

09-04-78831

Navajo Nation

4

   

56,505.00

 

ACF

09-05-80504

Torres Martinez Desert

4

   

2,675,468.00

 

ACF

09-07-87162

Teen Awareness Inc.

3

  

5,500.00

  

ACF

09-98-00065

Latino Resource Org.

3

  

95,102.00

  

ACF

09-99-52846

Inter Tribal Council of CA

4

   

68,486.84

 

ACF

10-05-80407

First AME Child Devel Ctr

3

  

50,998.92

  

ACF

10-05-81723

Conf TRB & BND Yakama Ind.

4

   

44,190.00

 

CDC

A-01-96-37165

Haitian American Public Health Initiative

2

 

20,209.00

   

CDC

A-03-06-83834

Government of the District of Columbia

1

1,606,868.00

    

CDC

A-03-98-50835

National Organization of Black County Officials

3

  

19,385.00

  

CDC

A-03-98-50836

National Organization of Black County Officials

3

  

27,140.00

  

CDC

A-03-98-50837

National Organization of Black County Officials

3

  

1,078.00

  

CDC

A-03-98-51634

City of Philadelphia, PA

1

93,690.00

    

CDC

A-03-99-56842

National Association for Equal Opportunity in Higher Education

5

    

33,585.00

CDC

A-04-05-80121

Louisville/Jefferson County Metro Government

1

34,968.00

    

CDC

A-04-06-84817

State of FL

1

87,949.00

    

CDC

A-06-05-82165

State of TX

1

45,211.00

    

CDC

A-07-06-85635

Sisters of Mercy Health System, Inc.

2

 

15,985.00

   

CDC

A-08-07-86337

Aberdeen Area Tribal Chairmen’s Health Board

4

   

45,571.00

 

CDC

A-09-03-74192

Republic of Palau

1

6,500.00

    

CDC

A-09-05-79628

Republic of Palau

1

111,464.00

    

CDC

A-09-05-82341

Republic of Palau

1

2,702.00

    

CDC

A-09-07-85769

Republic of Palau

1

15,375.00

    

CDC

A-10-98-53017

Self Enhancement, Inc.

3

  

6,868.00

  

CDC

A-10-98-53018

Self Enhancement, Inc.

3

  

3,452.00

  

CDC

A-10-98-53162

People of Color Against AIDS Network

3

  

8,289.00

  

CMS

A-01-02-00016

State of MA

1

5,312,447.00

  

 

 

CMS

A-01-02-00513

Medicare Pt. B Services for SNF System

2

 

103,956,458.00

 

 

 

CMS

A-01-02-00516

United Government Services

2

 

1,768,783.00

 

 

 

CMS

A-01-04-00006

State of MA

1

86,645,347.00

  

 

 

CMS

A-01-04-00012

State of MA

1

133,169.00

  

 

 

CMS

A-01-04-00513

Medicare Pt. B Payments for Ambulance Services to Beneficiaries

2

 

12,110,072.00

 

 

 

CMS

A-01-04-00527

Review of Home Health Agencies' Billing for Services Preceded by a Hospital Discharge

2

 

48,135,395.00

 

 

 

CMS

A-01-04-00528

Medicare Pt. B Payments for Radiology Services for 2001 through 2003

2

 

7,757,254.00

 

 

 

CMS

A-01-05-00001

State of NH

1

35,325,468.00

  

 

 

CMS

A-01-05-00004

Maine Department of Health and Human Services

1

38,087,280.00

  

 

 

CMS

A-01-05-00511

Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Made on Behalf of Beneficiaries in

2

 

111,114,813.00

 

 

 

CMS

A-01-06-00502

National Heritage Insurance Company

2

 

4,030,166.00

 

 

 

CMS

A-01-06-00503

Payments for Medicare Pt. B Services Made on Behalf of Beneficiaries in SNF Stays Covered Under Part A

2

 

124,800,000.00

 

 

 

CMS

A-01-07-00510

Mutual of Omaha

2

 

374,945.00

 

 

 

CMS

A-01-07-00512

NHIC, Corp., MA

2

 

279,423.00

 

 

 

CMS

A-01-07-88272

State of CT

1

32.00

  

 

 

CMS

A-02-02-01029

New York State Department of Health

1

435,903,456.00

  

 

 

CMS

A-02-02-01030

New York State Department of Health

1

172,553,831.00

  

 

 

CMS

A-02-03-01003

New Jersey Department of Human Services

1

50,500,277.00

  

 

 

CMS

A-02-03-01008

New York State Department of Health

1

53,037,302.00

  

 

 

CMS

A-02-03-01023

NY City Department of Education

1

108,241,199.00

  

 

 

CMS

A-02-05-01016

New Jersey Department of Human Services

1

4,346,987.00

  

 

 

CMS

A-02-06-01006

New Jersey Department of Human Services

1

7,978,278.00

  

 

 

CMS

A-02-07-01043

National Government Services, Inc.

2

 

330,030.00

 

 

 

CMS

A-02-07-01044

National Government Services, Inc.

2

 

1,269,719.00

 

 

 

CMS

A-03-01-00225

Virginia Department of Medical Assistance Services

1

3,948,532.00

  

 

 

CMS

A-03-01-00228

Pennsylvania Department of Public Welfare

1

1,694,148.00

  

 

 

CMS

A-03-03-00220

State of DE

1

2,916,288.00

  

 

 

CMS

A-03-05-00206

Maryland Department of Health and Mental Hygiene

1

32,760,910.00

  

 

 

CMS

A-03-06-00005

Claim Payment Adjustments Identified by Quality Improvement Organizations

2

 

290,572.00

 

 

 

CMS

A-03-07-00022

CareFirst Blue Cross Blue Shield of Maryland

2

 

20,427.00

 

 

 

CMS

A-04-00-01210

Medicare's Postacute Care Transfer Policy at Blue Cross Blue Shield of Georgia

2

 

891,000.00

 

 

 

CMS

A-04-00-02162

First Coast Service Options

2

 

2,004,272.00

 

 

 

CMS

A-04-01-00005

North Carolina Department of Health and Human Services

1

2,785,151.00

  

 

 

CMS

A-04-02-07007

State of FL

1

2,231,100.00

  

 

 

CMS

A-04-03-00018

Palmetto GBA

2

 

57,861.00

 

 

 

CMS

A-04-04-00008

Nationwide Review of Inpatient Rehabilitation Facilities' Compliance with Medicare's Transfer Regulation

2

 

4,359,029.00

 

 

 

CMS

A-04-04-03000

Medicare's Postacute Care Transfer Policy for Fiscal Years 2001 and 2002

2

 

37,901,885.00

 

 

 

CMS

A-04-04-06012

University of California San Francisco Medical Center

2

 

3,904,526.00

 

 

 

CMS

A-04-04-78917

State of FL

1

36,281.00

  

 

 

CMS

A-04-05-79569

State of MS

1

949,695.00

  

 

 

CMS

A-04-95-02110

SC BC (Hospice of Lake & Sumter, Inc.) - ORT

2

 

4,000,000.00

 

 

 

CMS

A-04-95-02111

SC BC (Hospice of Florida Suncoast, Inc.) - ORT

2

 

14,800,000.00

 

 

 

CMS

A-04-97-02130

Mutual of Omaha (FL Adult Care Enterprise)

2

 

1,709,245.00

 

 

 

CMS

A-04-97-02138

Mutual of Omaha (Silver Springs Health Cntr.) - ORT

2

 

2,382,527.00

 

 

 

CMS

A-05-01-00099

Illinois Department of Public Aid

1

140,281,912.00

  

 

 

CMS

A-05-01-00102

Illinois Department of Public Aid

1

4,516,112.00

  

 

 

CMS

A-05-01-65324

State of IN

1

6,305,406.00

  

 

 

CMS

A-05-01-68896

State of IN

1

292,714.00

  

 

 

CMS

A-05-05-00018

Michigan Department of Community Health

1

955,060.00

  

 

 

CMS

A-05-05-00057

State of IN

1

21,298,841.00

  

 

 

CMS

A-05-05-00059

State of MN

1

3,759,338.00

  

 

 

CMS

A-05-07-00023

Minnesota Department of Human Services

1

301,001.00

  

 

 

CMS

A-05-07-87844

State of MI

1

110,900,000.00

  

 

 

CMS

A-05-07-88075

State of IN

1

18,849,134.00

  

 

 

CMS

A-06-03-75545

Louisiana Department of Health and Hospitals

1

362,053,628.00

  

 

 

CMS

A-06-05-81865

State of LA

1

252,945.00

  

 

 

CMS

A-06-05-82262

State of OK

1

31,588.00

  

 

 

CMS

A-06-07-00056

TrailBlazer Health Enterprises, TX

2

 

283,426.00

 

 

 

CMS

A-06-07-86445

State of LA

1

45,969.00

  

 

 

CMS

A-06-07-88133

State of Oklahoma Office of State Finance

1

274.00

  

 

 

CMS

A-06-95-00095

Palmetto GBA (Fam. Hospice/Dallas) - ORT

2

 

871,306.00

 

 

 

CMS

A-06-96-00027

Palmetto GBA (VNA of TX Hospice) - ORT

2

 

1,156,341.00

 

 

 

CMS

A-07-00-00108

Review of Rural Health Clinic Medicare Claims for Calendar Years 1997, 1998, and 1999

2

 

2,762,969.00

 

 

 

CMS

A-07-01-02093

State of MO

1

14,838,661.00

  

 

 

CMS

A-07-02-03033

CareFirst - Pension Segmentation

2

 

6,788,644.00

 

 

 

CMS

A-07-03-02011

Iowa Department of Human Services

1

3,521,032.00

  

 

 

CMS

A-07-03-02657

Cigna Healthcare Medicare Administration

2

 

617.00

 

 

 

CMS

A-07-03-02665

Wisconsin Physicians Services

2

 

106,363.00

 

 

 

CMS

A-07-03-03039

CareFirst - Unfunded Pension Costs

2

 

2,611,100.00

 

 

 

CMS

A-07-04-03058

Missouri Department of Social Services

1

1,355,942.00

  

 

 

CMS

A-07-05-00191

Premera Blue Cross - Terminated Contractor

2

 

190,637.00

 

 

 

CMS

A-07-05-01016

Review of Fee-for-Service Payments for Medicare Beneficiaries Enrolled in Managed Care Risk Plans

2

 

4,553,997.00

 

 

 

CMS

A-07-05-03062

Iowa Department of Human Services

1

671,759.00

  

 

 

CMS

A-07-05-03066

Missouri Department of Social Services

1

525,249.00

  

 

 

CMS

A-07-05-03071

Missouri Department of Social Services

1

715,377.00

  

 

 

CMS

A-07-05-04048

Colorado Department of Health Care Policy & Financing

1

1,925,367.00

  

 

 

CMS

A-07-05-82158

State of MO

1

928,949.00

  

 

 

CMS

A-07-06-00216

Blue Cross Blue Shield of Arizona - Terminated Contractor

2

 

142,343.00

 

 

 

CMS

A-07-06-01029

Missouri Department of Social Services

1

8,235,595.00

  

 

 

CMS

A-07-06-03075

Missouri Department of Social Services

1

1,065,655.00

  

 

 

CMS

A-07-06-03078

Iowa Department of Human Services

1

1,706,269.00

  

 

 

CMS

A-07-07-00235

Blue Cross Blue Shield of South Carolina

2

 

1,847,056.00

 

 

 

CMS

A-07-07-04113

Colorado Department of Health Care Policy & Financing

1

459,604.00

  

 

 

CMS

A-07-08-04132

Wisconsin Physician Services

2

 

221,649.00

 

 

 

CMS

A-07-08-04133

Wisconsin Physician Services

2

 

982,264.00

 

 

 

CMS

A-07-92-00608

Blue Cross Blue Shield of Missouri - Denied Outpatient Claims

2

 

960,615.00

 

 

 

CMS

A-07-96-01189

Blue Cross Blue Shield of Washington/Alaska - Pension Segmentation

2

 

96,740.00

 

 

 

CMS

A-07-97-01205

Blue Cross Blue Shield of Washington/Alaska - Pension Costs

2

 

15,688.00

 

 

 

CMS

A-07-97-01206

Blue Cross Blue Shield of Washington/Alaska - Unfunded Pension Costs

2

 

106,843.00

 

 

 

CMS

A-08-07-88136

State of ND

1

225,230.00

  

 

 

CMS

A-09-01-00055

State of CA

1

267,404.00

  

 

 

CMS

A-09-03-00042

United Government Services

2

 

5,362,587.00

 

 

 

CMS

A-09-07-88410

State of CA

1

3,477,825.00

  

 

 

CMS

A-10-03-00011

Regence Blue Cross Blue Shield of Oregon

2

 

7,320,614.00

 

 

 

CMS

A-10-05-82644

State of AK

1

5,505,244.00

  

 

 

CMS

A-10-06-85755

State of Washington, Department of Social and Health Services

1

43,234.00

  

 

 

CMS

A-10-07-88006

State of WA

1

531,462.00

  

 

 

CMS

A-10-08-88780

State of AK

1

508,841.00

  

 

 

IHS

10-97-41196

Confederated Tribes and Bands of the Yakama Nation

4

 

 

 

42,234.00

 

IHS

10-98-51043

Nooksack Indian Tribe

4

 

 

 

433,539.00

 

OPHS

A-06-03-74833

Amigos Volunteers in Education and Services

5

 

 

 

 

$31,180

OS

02-06-82734

Ponce Medical School

2

 

27,934.00

   

OS

06-06-85640

Kiowa Tribe of Oklahoma

4

   

22,344.00

 

OS

06-07-86409

New Mexico Human Service Department

1

3,118.00

    

OS

07-03-02008

Kansas Advocacy Service

3

  

355,997.00

  

OS

08-05-79978

Crow Creek Sioux

4

   

7,500.00

 

OS

09-02-70938

Pascue Yaqui Tribe of Arizona

4

   

1,729.00

 

OS

09-07-85769

Republic of Palau

1

115,764.00

    

OS

09-97-48247

Karidat

3

  

50,612.00

  

OS

09-97-48966

Karidat

3

  

2,234.00

  

OS

09-98-52613

Marianas

1

639,432.00

    

OS

10-02-71415

Nooksack India Tribe

4

   

35,160.00

 

PSC-DCA

03-90-00453

State of WV

1

12,850,856.00

 

 

 

 

SAMHSA

A-04-04-78451

First Coast Counseling & Education Center 

5

    

130,073.00

SAMHSA

A-04-93-04183

Columbus County Services Management 

1

29,873.00

    

SAMHSA

A-05-06-00052

Recovery Resource Center

3

  

89,681.00

  

SAMHSA

A-08-03-74080

Oglala Sioux Tribe

4

   

77,376.00

 
         

 

 

 

$

$1,924,430,670

$524,694,329

$5,096,968

$5,253,977

$2,744,457

 

 

 

#

77

47

26

23

10



 

Notes:
Blue/Bold
text represents footnotes associated with cases currently in collection

 

 

# Of Cases

 

In Collection

Percentage

1. Appeal process.

 

10

#

93

50.82%

2. Referred to Department of Justice (DOJ).

 

19

$

$1,518,907,218

61.69%

3. Referred to DOJ/payment plan.

 

2

 

 

 

4. Payment plan.

 

15

 

 

 

5. Pursuing collection.

 

55

 

 

 

6. Transferred to Treasury Offset Program.

 

2

 

 

 

7. In District Court.

 

2

 

 

 

8. Additional documentation has been provided by the State or contractor. OIG and/or HHS Agency reviewing.

 

13

 

 

 

9. HHS agency is in process of negotiating or determining outstanding overpayment amount and/or payment options.

 

11

 

 

 

10. HHS agency will verify that corrective action has been completed by the fiscal intermediary.

 

1

 

 

 

11. HHS Agency is developing a formula to settle all waivers regarding pension segmentation and/or unfunded pension costs.

 

6

 

 

 

12.Prepare DOJ/Pending DOJ (PSC preparing to send to DOJ/PSC awaiting decision from DOJ)

 

7

 

 

 

13. TANF/D4 (TANF Penalty Offset; debt is reduced depending on information received via the grantee's 269/272 report)

 

5

 

 

 

14. Bankruptcy (stay in effect, not pursuant of collections; case is not referred to DOJ)

 

1

 

 

 

15. Awaiting a decision by the Agency and/or the OGC.

 

24

 

 

 

16. Timing issue - closed per the most recent Audit Status Follow-up Report (ASFR) or an OCD.

 

9

 

 

 

 

TOTAL

182*

 

 

 

*Difference with cell G212 due to CMS case # A-05-07-87844, which includes footnotes 15 and 5