Ohio owes $29.5M for improper Medicaid bonuses, feds allege


The Ohio Department of Medicaid owes back $29.5 million in bonuses that the federal government said wouldn’t have been paid out if Ohio had counted its enrollment numbers properly.

Ohio Department of Medicaid disputes the federal report.

The dispute centers around whether Ohio should have counted children who are blind or have disabilities in its Children’s Health Insurance Program enrollment numbers when it comes to certain federal bonuses.

RELATED: Search our database of hospital Medicare readmission penalties

The U.S. Department of Health and Human Services Office of Inspector General gives bonuses to offset the cost of increased Medicaid enrollment, but maintains in its report that the bonuses are not for children who are blind or have disabilities.

The inspector general’s office reported nearly half of the $64 million in bonus payments Ohio received between 2010 and 2013 were improperly received.

RELATED: What you need to know about Obamacare open enrollment

Michelle Horn, chief financial officer for Ohio Medicaid, stated the state maintains its numbers were submitted in accordance with the law’s intent, and Centers for Medicaid and Medicare’s approach for calculating bonuses “is in opposition to Congressional intent meant to reward states for increased enrollment of all eligible children, not just non-disabled eligible children.”

RELATED: Medicare enrollment period time for scammers

The federal report says that Ohio overstated its eligible enrollees each year between 2010 and 2013, with the number of improper enrollees ranging from between 40,925 and 33,851.

That translates to disputed annual bonuses between $4.7 million and $10.8 million during those years.



Reader Comments ...


Next Up in Local

Springfield student arrested after Facebook threat: 4 things to know
Springfield student arrested after Facebook threat: 4 things to know

A student at Springfield High School has been arrested after police said she made a Facebook post about a school shooting that went viral, including in multiple states. Here’s four things you should know about the ongoing case. » READ MORE: Attendance ‘light’ at Clark County Schools after threat, arrest made 1. ‘I will...
Financial experts say you should do these things with your tax refund
Financial experts say you should do these things with your tax refund

‘Tis the season for taxpayers to get a nice chunk of change back from the IRS. It’s tempting to spend it all, but financial experts say there are steps you should take to shore up your financial future.  Some who usually pay off debt will splurge this year. “I’m going to Japan in April so I’m actually going to add...
WATCH: Security camera captures two men who terrified kids home alone
WATCH: Security camera captures two men who terrified kids home alone

It’s any parents, and kids, worst nightmare. Strangers, trying to bust down the front door of a dayton home, just minutes after parents left for work, and their 11-year-old kids home alone. Dayton police have opened an investigation. A security camera on a neighbor’s house on holly avenue in dayton captured the faces of two men, wearing...
Arrest made in attempted robbery at Table 33 restaurant in downtown Dayton
Arrest made in attempted robbery at Table 33 restaurant in downtown Dayton

Dayton police arrested an 18-year-old man after a failed robbery attempt at Table 33 restaurant in downtown Dayton. According to a Dayton Police report, just after 5 p.m. Thursday, a man in camo pants and a red shirt grabbed a female bartender by the arm and ordered her twice to open the cash register. The woman refused both demands and the man ran...
8 hot cars at the Dayton Auto Show
8 hot cars at the Dayton Auto Show

Gleaming under the lights at the 2018 Dayton Auto Show, which opened today at the Dayton Convention Center, 22 E. Fifth St., are several hundred high-tech cars, family-friendly minivans and crossovers, rugged trucks and plush luxury vehicles, plus multiple attractions. You’ll see not only great vehicles but may win something worth upwards of...
More Stories