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Accession Number PB2014-106435
Title State Medicaid Program Efforts to Control Costs for Disposable Incontinence Supplies.
Publication Date Jan 2014
Media Count 25p
Personal Author N/A
Abstract In 2012, fee-for-service State Medicaid programs reported spending $266 million on nine specific types of disposable incontinence supplies (e.g., diapers). Many State legislatures have passed legislation directing States to seek opportunities to reduce the costs of health care goods and services through contracting processes such as competitive bidding. To control costs, other States have reduced either the reimbursement rates or the maximum quantities of incontinence supplies allowed. Since 2009, the Office of Inspector General (OIG) has identified ensuring the integrity of Federal health care program payment methodologies as a top management challenge for the Department of Health and Human Services.1 In addition, there have been a number of fraud cases involving disposable incontinence supplies. In 2013, a Maryland supplier pleaded guilty to submitting and collecting claims for reimbursement for over $200,000 of incontinence supplies that were never delivered.2 In 2012, a supplier pleaded guilty to Federal charges stemming from the submission of nearly $45,000 in claims to the District of Columbia Medicaid program for diapers, disposable underpads, and gloves that were never actually provided.
Keywords Characteristics
Health financing
Health statistics
Incontinence supplies
Statistical data

Source Agency Department of Health and Human Services, Washington, DC
NTIS Subject Category 44Q - Health Related Costs
43 - Problem Solving Information for State & Local Governments
92C - Social Concerns
Corporate Author Department of Health and Human Services, Washington, DC. Office of the Inspector General.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1418
Contract Number N/A

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