Medicaid Audit Intelligence

Publishing agency

Ohio Auditor of State

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

Evidence register

13 reports

Published
Sep 1, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Compliance Examination of New Destiny Treatment Center, Inc.

The Ohio Auditor of State's Compliance Examination of New Destiny Treatment Center, Inc. assesses Medicaid program compliance and internal controls for 2021-2023, with attention to billing accuracy, documentation, and program integrity to inform corrective actions and future a…

Findings
0
Recommendations
0
Open evidence record
Source status
Original source
Published
Sep 1, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

CarePlus Home Healthcare LLC Compliance Examination

This metadata-only extract notes a compliance examination of a Medicaid provider in Ohio for the 2021–2023 period. The provided text lacks detailed findings or conclusions, so a complete assessment will require the full report content.

Findings
0
Recommendations
0
Open evidence record
Source status
Original source
Published
Aug 27, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Public Interest Audit Identifies 10% of Sampled Medicaid Recipients Could Not Have Citizenship or Immigration Status Confirmed

The public interest audit identifies gaps in eligibility verification within Medicaid, with 10% of sampled recipients lacking verified citizenship, suggesting the need for standardized processes and better interagency data sharing; other programs performed better.

Findings
2
Recommendations
2
Open evidence record
Source status
Original source
Published
Aug 27, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Public Interest Report

This Public Interest Report, released August 27, 2026, concerns the Ohio Public Benefit Programs with a reporting period of November 1–30, 2025. The provided text lacks explicit audit objectives, findings, or conclusions, suggesting that the accessible excerpt may be a portal…

Findings
0
Recommendations
0
Open evidence record
Source status
Original source
Published
Aug 17, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Metadata record
Examines
Ohio

Public Interest Report Ohio Public Benefit Programs For The Period November 2025

Overall, the state is well-positioned to execute swift corrective action and rectify identified control weaknesses and baseline data issues without delay, leveraging its existing framework to streamline cross-program integration.

Findings
7
Recommendations
8
Open evidence record
Source status
Library record
Published
Jun 3, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Metadata record
Examines
Ohio

Independent Auditor’s Report on Compliance with Requirements of the Medicaid Program

Disclaimer of Opinion due to limitation on the scope of the examination; the scope was not sufficient to express an opinion on CarePlus’ compliance with the specified Medicaid requirements for the period January 1, 2021 through December 31, 2023.

Findings
4
Recommendations
7
Open evidence record
Source status
Library record
Published
May 13, 2026
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Metadata record
Examines
Ohio

Independent Auditor’s Report On Compliance With Requirements Of The Medicaid Program

In our opinion, except for the effects of the matters described in the Basis for Qualified Opinion paragraph, New Destiny has complied, in all material respects, with the select requirements of behavioral health services for the period of January 1, 2021 through December 31, 2…

Findings
8
Recommendations
4
Open evidence record
Source status
Library record
Published
Nov 1, 2024
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

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
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

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
Dec 13, 2022
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Public Assistance Reporting Information System Alerts

Based on the sampling results, 59% of PARIS alerts were not worked or not worked timely; this undermines the effectiveness of PARIS in controlling improper capitation payments. The Department’s corrective actions and monitoring efforts are ongoing, and the audit results suppor…

Findings
8
Recommendations
4
Open evidence record
Source status
Original source
Published
Dec 28, 2021
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Improper Capitation Payments

The Department has processes to identify and recoup improper capitation payments, but controls are not sufficiently robust to ensure all improper payments are identified and recouped. The audit identified over $118.5 million in improper capitation payments not recouped for SFY…

Findings
7
Recommendations
5
Open evidence record
Source status
Original source
Published
Feb 15, 2008
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

Audit of Medicaid Reimbursements Made to Regency Manor Rehabilitation

The audit identified overpayments totaling $58,540.97 due to billing inaccuracies in room and board, and therapy services. The provider is responsible for repayment, and the Department of Job and Family Services will make final determinations regarding recovery.

Findings
3
Recommendations
2
Open evidence record
Source status
Original source
Published
Jun 29, 2000
Scope
Single jurisdiction
Source authority
Ohio
Publishing agency
Ohio Auditor of State
Source record
Original document linked
Examines
Ohio

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