Evidence record
Public Interest Audit Identifies 10% of Sampled Medicaid Recipients Could Not Have Citizenship or Immigration Status Confirmed
- Jurisdiction
- Ohio
- Publishing agency
- Ohio Auditor of State
- Publication date
- August 27, 2026
- Source record
- Original document linked
Findings
2
Recommendations
2
Overall conclusion
The public interest audit identifies gaps in eligibility verification within Medicaid, with 10% of sampled recipients lacking verified citizenship, suggesting the need for standardized processes and better interagency data sharing; other programs performed better.
Scope
Review of citizenship and immigration status verification during November 2025 for Medicaid and related public benefit programs, including the Department of Medicaid and the Department of Job and Family Services, with policy implications for compliance with new federal immigration status requirements.
Findings (2)
Each finding has a stable link.
- F-1348
Ten percent of sampled Medicaid recipients could not have their citizenship verified or confirmed as eligible legal residents.
- F-1349
Medicaid had an error rate of 10% in citizenship/immigration status verification, indicating gaps in eligibility determination, while Ohio Works First had an error rate of 3%.