Oregon Secretary of State
4 indexed reports
The Oregon Eligibility System Appropriately Determines Eligibility, But Input Errors Continue to Occur
The audit found that the ONE system largely determines eligibility accurately for Medical and SNAP programs, and automated eligibility determinations are generally effective. However, input errors, ma...
Without Federal Action, States Will Continue to Pay Millions of Dollars in Duplicate Medicaid Payments
The audit concludes that without federal action, states will continue to pay millions of dollars in duplicate Medicaid payments; stronger data sharing and real-time enrollment data are needed; Do Not ...
Poor Accountability and Transparency Harm Medicaid Patients and Independent Pharmacies
The audit identifies Oregon’s Medicaid PBM framework as overly complex and insufficiently transparent, with limited direct oversight of PBMs by OHA. The report recommends a shift toward stronger patie...
Timely Notification of Inpatient Hospital Stays Could Help Reduce Improper Medicaid Payments
OHA lacks timely notification of inpatient hospital stays, which results in some claims being paid for services not provided because the Medicaid client was in the hospital; there is significant impro...