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THREAT OF POTENTIALLY SEVERE FISCAL PENALTIES
ACCURACY OF MQC FINDINGS IS QUESTIONABLE
accuracy administrative costs AFDC Alabama APPENDIX II APPENDIX base period believe claims paid claims processing errors claims processing reviews claims processing sample corrective action activities corrective action plans corrective action program disallowance dollar effective eligibility determinations eligibility review eligible for Medicaid erroneous Medicaid payments erroneous payments examined example Federal Medicaid regulations Federal regulations Federal sharing fiscal penalties fiscal sanctions funds HCFA MQC reviewers HCFA regional offices HCFA reviewers HCFA subsample HCFA's identified implementation improve incentives independent Louisiana Medicaid eligibility Medicaid program Medicaid Quality Control misspent MQC corrective action MQC data MQC file MQC program MQC system MQC unit MQC's Office of Quality Oklahoma paid claims percent problems processing and third-party program weaknesses quality control program re-review recipients recovery efforts review criteria review month Secretary of HHS State's Medicaid statistical sample stratum Supplemental Security Income target error rate third-party liability reviews verification Washington