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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Short/Doyle Medicaid Payment Rates," (A-09-91-00076)

October 25, 1991

Complete Text of Report is available in PDF format (856 KB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

Our audit disclosed that the Medicaid rates set for Short/Doyle services exceeded reasonable limits established by Federal law and regulations. Short/Doyle is one component of the California Medicaid program serving the mentally ill. We found that expenditures were 21 percent higher (or $3.6 million more) than reasonable allowances under the Medicare program for the same or similar services. Also, expenditures were 87 percent higher (or $9.5 million more) than the maximum permitted under California's regular Medicaid program.