Department of Health and Human Services

Office of Inspector General -- AUDIT

"Calendar Year 2001 Adjusted Community Rate Proposal Modifications Under the Benefit Improvement Protection Act Submitted by Florida Health Care Plan, Holly Hill, Florida," (A-04-03-06017)

August 9, 2004



Adobe PDF Logo Complete Text of Report is available in PDF format (741 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.
 

EXECUTIVE SUMMARY:

The objectives of this review were to determine whether Florida Health used the additional capitation payments in a manner consistent with the Benefits Improvement Protection Act (BIPA) requirements and (2) supported the modifications to the 2001 proposal.  About $1.2 million of the $6.9 million increase in Florida Health’s revised proposal was not used in a manner consistent with BIPA requirements or was not supported.  We recommended that Florida Health refund $1,247,220 to the Centers for Medicare & Medicaid Services or, as an alternative, deposit this amount in a benefit stabilization fund for use in future years.  We also recommended that Florida Health ensure that estimated costs in future proposals are properly supported.  Florida Health agreed with our recommendations.


E-Mail List | HIPDB | Hotline | Privacy Notice | Disclaimers
FOIA Information | Contact Us | What's New | Exclusions Database
HHS Homepage | IGnet | FirstGov | Accessibility | Adobe Acrobat

 
Go to the top of the page