Alert: OIG Work Plan for FY 2010 Released
The Department of Health and Human Services (HHS)recently released its Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2010. This publication describes activities that the OIG plans to initiate or continue with respect to the programs and operations of HHS in the next year.
AOTA is closely reviewing the work plan for implications for OT advocacy; however, occupational therapy is specifically mentioned with regard to Medicaid in the following excerpt:
Medicaid Physical and Occupational Therapy Services: Appropriateness of Payments: We will review the appropriateness of payments for Medicaid physical and occupational therapy services. Pursuant to 42 CFR § 440.110, states may provide physical and occupational therapy services to Medicaid beneficiaries. Previous OIG studies found that some physical and occupational therapy services provided under Medicare were medically unnecessary, were billed incorrectly, or were rendered by unqualified providers. Through a medical review, we will determine whether Medicaid has similar program integrity issues.
You can access the report at: http://oig.hhs.gov/08/Work_Plan_FY_2010.pdf