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Medicaid audit reports

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Evidence register

2 reports

Published
Dec 13, 2022
Jurisdiction
Ohio
Publishing agency
Auditor of State of Ohio
Report ID
REPORT 153

Public Assistance Reporting Information System Alerts

Based on the sampling results, 59% of PARIS alerts were not worked or not worked timely; this undermines the effectiveness of PARIS in controlling improper capitation payments. The Department’s corrective actions and monitoring efforts are ongoing, and the audit results suppor…

Findings
8
Recommendations
4
Open evidence record
Source status
Original source
Published
Dec 28, 2021
Jurisdiction
Ohio
Publishing agency
Auditor of State of Ohio
Report ID
REPORT 152

Improper Capitation Payments

The Department has processes to identify and recoup improper capitation payments, but controls are not sufficiently robust to ensure all improper payments are identified and recouped. The audit identified over $118.5 million in improper capitation payments not recouped for SFY…

Findings
7
Recommendations
5
Open evidence record
Source status
Original source