Georgia
U.S. Department of Health and Human Services Office of Inspector General
Published September 23, 2026

Georgia Medicaid Fraud Control Unit: 2024 Onsite Inspection

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Source Document

Audit Scope

Onsite inspection of the Georgia Medicaid Fraud Control Unit conducted in 2024 to evaluate compliance with grant requirements and internal controls, including governance, staffing, referrals, supervisory reviews, reporting, and equipment inventory.

AI-Assisted

Generated by gpt-5-nano

AI Scope Summary

This audit aimed to assess the Georgia Medicaid Fraud Control Unit's governance, internal controls, and compliance with grant requirements during the 2024 onsite inspection, focusing on staffing, referrals, supervisory reviews, reporting, and equipment inventory; six recommendations were identified as open/unimplemented.

AI-Generated Insight

This evaluation of the Georgia Medicaid Fraud Control Unit’s 2024 onsite inspection identified six open, unimplemented recommendations aimed at strengthening personnel practices, fraud referrals, supervisory documentation, reporting of convictions/adverse actions to federal partners, and equipment inventory controls.

Audit Objectives

No specific objectives documented for this audit

Audit Findings (0)

No findings documented for this audit

Recommendations (6)

1

Expand efforts to increase fraud and patient abuse or neglect referrals.

2

Take steps to ensure that periodic supervisory reviews are documented in the case files.

3

Take steps to ensure timely reporting of all convictions and adverse actions to Federal partners.

4

Establish written policies and procedures for maintaining an inventory of the Unit's equipment.

5

Include information to track equipment in the Unit's equipment inventory list.

6

Examine position descriptions and salaries to ensure a fair and competitive salary and benefit package that enables the Unit to recruit and retain qualified staff.