Minnesota Medicaid DSH, Minnesota RAC, and Minnesota NEMT

 

Minnesota DSH Overview

Myers and Stauffer LC has performed the federally mandated independent certified audits of the Minnesota Medicaid Disproportionate Share Hospital (DSH) program since 2015. This web site is intended to provide an efficient means to obtain Medicaid program documentation and information relating to the DSH audits.

Medicaid RAC Overview

CMS has established the Medicaid RAC program as a method for states to protect and promote the integrity of their Medicaid program, pursuant to federal requirements as outlined at 42 CFR 455. Medicaid RACs will review claims for which payment has been made under Section 1902(a) of the Social Security Act or under any waiver of the State Plan to identify underpayments and overpayments and recoup overpayments for the states.

Minnesota NEMT Overview

The Minnesota Department of Human Services (DHS) is working with Myers and Stauffer LC to conduct reviews of non-emergency medical transportation (NEMT) services for the Minnesota Health Care Programs (MHCP). As the NEMT contractor, Myers and Stauffer will review documentation for transportation claims billed by the NEMT providers and paid by MHCP in order to identify compliance with state and federal program requirements.

 

Minnesota DSH
Documents made available for download.

Minnesota Medicaid RAC
Minnesota Medicaid Recovery Audit Contractor (RAC) information.

Minnesota Medicaid NEMT
Minnesota medicaid non-emergency medical transportation (NEMT) information.