Medicaid Audit Intelligence

Publishing agency

Illinois Office of the Auditor General

Reports attributed to this canonical publisher identity in the public audit registry.

Evidence register

4 reports

Published
Jul 15, 2026
Scope
Single jurisdiction
Source authority
Illinois
Publishing agency
Illinois Office of the Auditor General
Source record
Original document linked
Examines
Illinois

State Compliance Examination For The Two Years Ended June 30, 2025

In our opinion, except for the material noncompliance with the specified requirements described in the accompanying Schedule of Findings as items 2025-001 and 2025-002, the Department complied with the specified requirements during the two years ended June 30, 2025, in all mat…

Findings
13
Recommendations
13
Open evidence record
Source status
Original source
Published
Jul 16, 2025
Scope
Single jurisdiction
Source authority
Illinois
Publishing agency
Illinois Office of the Auditor General
Source record
Original document linked
Examines
Illinois

Performance Audit of Medicaid Eligibility Determinations for Long-Term Care

The audit identified significant delays, data inaccuracies, and reporting deficiencies in Illinois' Medicaid long-term care eligibility process. While some system enhancements have been implemented, issues remain with timeliness, data integrity, and reporting practices. The ag…

Findings
7
Recommendations
6
Open evidence record
Source status
Original source
Published
Feb 26, 2025
Scope
Single jurisdiction
Source authority
Illinois
Publishing agency
Illinois Office of the Auditor General
Source record
Original document linked
Examines
Illinois

Performance Audit of the Health Benefits for Immigrant Seniors and Adults

The audit revealed significant discrepancies between estimated and actual enrollment and costs, issues with data accuracy and eligibility verification, and the need for improved controls to prevent ineligible or duplicate enrollments. These findings highlight the importance of…

Findings
6
Recommendations
2
Open evidence record
Source status
Original source
Published
Jan 1, 2018
Scope
Single jurisdiction
Source authority
Illinois
Publishing agency
Illinois Office of the Auditor General
Source record
Original document linked
Examines
Illinois

Performance Audit of Medicaid Managed Care Organizations for Fiscal Year 2016

HFS failed to maintain complete and accurate data to monitor payments to and from MCOs, leading to potential overpayments, duplicate payments, and lack of oversight on costs and claims processing.

Findings
10
Recommendations
6
Open evidence record
Source status
Original source