Medicaid Audit Intelligence

Publishing agency

Missouri State Auditor

Reports attributed to this exact publisher identity in the indexed source metadata.

Evidence register

2 reports

Published
Nov 2020
Jurisdiction
Missouri
Publishing agency
Missouri State Auditor
Report ID
REPORT 79

Medicaid Managed Care Program

The audit found material weaknesses in MEDES controls that allowed improper and potentially preventable capitation payments to be issued, particularly for bypassed and out-of-state and incarcerated participants. While MEDES updates have improved functionality for new participa…

Findings
4
Recommendations
4
Open evidence record
Source status
Original source
Published
Dec 2018
Jurisdiction
Missouri
Publishing agency
Missouri State Auditor
Report ID
REPORT 80

Department of Social Services Prescription Drug Oversight

The audit found that while cost containment measures have contributed to reductions in prescription drug payments after 2015, significant control gaps remain, notably the absence of a comprehensive statewide PDMP and incomplete collection of National Drug Codes for physician-a…

Findings
4
Recommendations
0
Open evidence record
Source status
Original source