Evidence record
Medicaid Program Integrity Opportunities for CMS to Strengthen Use of State Auditor Findings and Collaboration
- Publishing agency
- U.S. Government Accountability Office
- Publication date
- September 21, 2023
- Source record
- Original document linked
Findings
3
Recommendations
2
Overall conclusion
While CMS has taken steps to improve collaboration with state auditors and analyze audit findings, there remains significant room for improvement in using these findings to enhance Medicaid program oversight and prevent improper payments.
Scope
The scope of the audit includes Medicaid program oversight at the federal and state levels, focusing on Medicaid single audits conducted from fiscal years 2019 through 2021, analysis of audit findings, challenges faced by auditors, and CMS’s use and collaboration with state auditors to improve program integrity.
Findings (3)
Each finding has a stable link.
- F-048
Nearly 60 percent of Medicaid single audit findings were repeated from the prior year, indicating incomplete or ineffective corrective actions.
- F-049
State auditors face resource challenges, such as lack of training and difficulties obtaining information from CMS or state Medicaid agencies.
- F-050
CMS has begun analyzing single audit findings to identify national trends and has restarted collaboration efforts with state auditors, but has not yet used this analysis to inform oversight or shared results with auditors.