OIG provides new reference for MCOs

Managed Care Organizations (MCOs) have a new chapter in the Uniform Managed Care Manual (UMCM) that consolidates existing Office of Inspector General (OIG) deliverables and guidance into one place.

OIG finds incorrectly reported encounter data

The results of an OIG audit found that a Texas Medicaid and Children’s Health Insurance Program (CHIP) managed care organization (MCO) incorrectly reported encounter data.