Evidence record
Medicaid and Children's Health Insurance Program Client Eligibility Determinations
- Jurisdiction
- Michigan
- Publishing agency
- Michigan Office of the Auditor General
- Publication date
- March 11, 2022
- Source record
- Original document linked
Findings
8
Recommendations
0
No formal recommendations were issued in this record.
Overall conclusion
Moderately effective.
Scope
Scope: October 1, 2018 through September 30, 2019; examining MDHHS's Medicaid and CHIP client eligibility determinations, including MAGI and non-MAGI TOAs, Bridges-based documentation, and related payments and monitoring activities.
Findings (8)
Each finding has a stable link.
- F-899
Improvements needed to ensure MDHHS completes accurate eligibility determinations and maintains documentation.
- F-900
System improvements needed to ensure the correct classification of Medicaid and CHIP expenditures.
- F-901
Improvements needed in processing Transitional Medical Assistance (TMA).
- F-902
Improvements needed to ensure required SSN verifications are completed.
- F-903
Improvement needed in alien status verification.
- F-904
Improvements needed in determining eligibility for Healthy Michigan Plan (HMP) beneficiaries concurrently enrolled in Medicare.
- F-905
Improved controls needed to prevent or recover healthcare payments issued on behalf of incarcerated individuals.
- F-906
Improvements needed to ensure accurate information for SSI-related Medicaid beneficiaries.
Recommendations (0)
This record contains no formal recommendations.