Medicaid Audit Intelligence

Publishing agency

Office of the Washington State Auditor

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

Evidence register

4 reports

Published
Oct 13, 2026
Scope
Single jurisdiction
Source authority
Washington
Publishing agency
Office of the Washington State Auditor
Source record
Original document linked
Examines
Washington

State Made Limited Progress In Expanding Childhood Lead Exposure Testing, Audit Finds

The follow-up audit found limited progress by the Health Care Authority in expanding Medicaid lead exposure testing, with none of the prior recommendations fully implemented as of May 2026.

Findings
4
Recommendations
4
Open evidence record
Source status
Original source
Published
Oct 28, 2024
Scope
Single jurisdiction
Source authority
Washington
Publishing agency
Office of the Washington State Auditor
Source record
Original document linked
Examines
Washington

Examining Washington’s Concurrent Medicaid Enrollments

The audit highlights significant financial waste due to concurrent Medicaid enrollments, emphasizing the need for improved communication, data sharing, and federal solutions to prevent unnecessary premium payments and optimize Medicaid spending.

Findings
5
Recommendations
5
Open evidence record
Source status
Original source
Published
Dec 12, 2023
Scope
Single jurisdiction
Source authority
Washington
Publishing agency
Office of the Washington State Auditor
Source record
Original document linked
Examines
Washington

Lead Testing for Children Enrolled in Medicaid

Washington State has not ensured adequate lead testing for children enrolled in Medicaid, despite the known risks and federal requirements. Testing rates are low and variable, especially among high-risk populations, indicating a need for improved monitoring, guidance, and outr…

Findings
3
Recommendations
4
Open evidence record
Source status
Original source
Published
Jul 8, 2021
Scope
Single jurisdiction
Source authority
Washington
Publishing agency
Office of the Washington State Auditor
Source record
Original document linked
Examines
Washington

Medicaid Program Integrity Examining the Health Care Authority’s oversight of efforts at state agencies

Medicaid is a significant public assistance program in Washington, requiring robust program integrity efforts to ensure proper use of funds. While HCA has taken steps to improve oversight, there are opportunities to strengthen strategic planning, performance measurement, and o…

Findings
4
Recommendations
3
Open evidence record
Source status
Original source