Medicaid Audit Intelligence

Publishing agency

Ohio Auditor of State

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

Evidence register

4 reports

Published
Nov 1, 2024
Jurisdiction
Ohio
Publishing agency
Ohio Auditor of State
Report ID
REPORT 22

Electronic Visit Verification Audit Ohio Department of Medicaid

The audit identified significant gaps in EVV utilization and matching, with only 44% of claims supported by EVV data in 2022. The Department has made efforts to implement EVV but faces challenges including low provider compliance, technical issues, and stakeholder engagement.…

Findings
5
Recommendations
3
Open evidence record
Source status
Original source
Published
Mar 13, 2024
Jurisdiction
Federal
Publishing agency
Ohio Auditor of State
Report ID
REPORT 16

The Cost of Concurrent Enrollment

The audit highlights significant financial waste due to unmanaged concurrent Medicaid enrollment across states, emphasizing the need for technological improvements, better inter-state communication, and proactive identification processes to safeguard public funds.

Findings
7
Recommendations
5
Open evidence record
Source status
Original source
Published
Jun 29, 2000
Jurisdiction
Ohio
Publishing agency
Ohio Auditor of State
Report ID
REPORT 19

Review of Medicaid Provider Reimbursements made to Crest Transportation Service

The review identified significant non-compliance with Medicaid reimbursement rules by Crest Transportation Service, resulting in overpayments and raising concerns about potential fraud and abuse. The provider’s documentation deficiencies, billing irregularities, and the owner’…

Findings
8
Recommendations
4
Open evidence record
Source status
Original source