OBJECTIVE
Outpatient clinical diagnostic laboratory tests encompass tests performed in a physician’s office, by an independent laboratory, or by a hospital laboratory, and provide information for the diagnosis, prevention, or treatment of disease or for the assessment of a medical condition. Medicaid reimbursement for outpatient clinical diagnostic laboratory services performed in a physician’s office, by an independent laboratory, or by a hospital laboratory, generally may not exceed the amount set in the Medicare clinical laboratory fee schedule. Our objective is to determine whether selected States claimed Federal Medicaid reimbursement for outpatient clinical diagnostic laboratory services in accordance with the payment limits set in Federal and State requirements.
There are 8 projects in this series.
Project titles will remain unpublished until projects are complete and reports are posted.
ACTIVE PROJECTS IN THIS SERIES (7)
COMPLETED PROJECTS IN THIS SERIES (1)
Audit of California's Medicaid Reimbursement for Clinical Laboratory Services
TIMELINE
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October 15, 2024Series Number SRS-A-25-002 Assigned
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October 15, 2024Project Announced
Project OAS-25-01-004
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February 18, 2025Project Announced
Audit of California's Medicaid Reimbursement for Clinical Laboratory Services - OAS-25-01-076
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March 10, 2025Project Announced
Project OAS-25-01-084
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April 28, 2025Project Announced
Project OAS-25-06-095
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June 26, 2025Project Announced
Project OAS-25-05-120
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October 6, 2025Project Announced
Project OAS-26-04-005
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January 13, 2026Project Announced
Project OAS-26-01-034
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April 14, 2026Project Announced
Project OAS-26-01-089
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June 8, 2026Project Complete - OAS-25-01-076
Audit of California's Medicaid Reimbursement for Clinical Laboratory Services complete. Report Published
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Today7 Audits In-Progress
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Est FY2028Estimated Fiscal Year for Series Completion