Public audit ledger

Medicaid audit reports

Search the complete report library and verify each record against its publishing agency and original public source.

Evidence register

6 reports

Order

Published: Sep 2026
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 211

Medicaid Managed Care: CMS’s Accuracy Check Process For State-Submitted MLR Data Has Limitations

CMS’s oversight of State-submitted Medicaid MLR data has limitations due to reliance on optional data elements and lack of internal communication; while CMS has taken steps such as releasing an MLR Toolkit, implementing a web-based submission portal, and making MLR data public…

Findings: 6
Recommendations: 3

Open evidence record

Source status: Original source

Published: Aug 2025
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 121

Washington Medicaid Managed Care Medical Loss Ratio Audit

CMS identified eight findings requiring correction, but none resulted in an MLR recalculation below the 85% remittance threshold; the audit identified operational improvements and oversight enhancements to ensure compliance with federal MLR requirements.

Findings: 8
Recommendations: 6

Open evidence record

Source status: Original source

Published: Jul 25, 2025
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 11

Ohio Medicaid Managed Care Medical Loss Ratio Audit

While no remittances were required based on the findings, the audit identified multiple areas for improvement in Ohio’s oversight and reporting processes to ensure compliance with federal requirements and enhance program integrity.

Findings: 3
Recommendations: 11

Open evidence record

Source status: Original source

Published: May 30, 2025
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 13

Oklahoma Focused Program Integrity Review Final Report

CMS supports Oklahoma’s efforts and encourages further improvements in program integrity. The review identified four observations for the state’s attention but no non-compliance findings that pose a risk.

Findings: 1
Recommendations: 5

Open evidence record

Source status: Original source

Published: Aug 1, 2023
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 25

Kansas Medicaid and CHIP Eligibility Determinations Audit

The audit found that Kansas generally complies with eligibility determination requirements but identified significant areas for improvement, especially in documentation, timely case closure, and resource verification. The improper payments highlight the need for enhanced overs…

Findings: 5
Recommendations: 8

Open evidence record

Source status: Original source

Published: Mar 1, 2023
Jurisdiction: Federal

Publishing agency: Centers for Medicare & Medicaid Services
Report ID: REPORT 18

Oregon Medicaid Managed Care Medical Loss Ratio Audit

The audit identified areas for improvement in Oregon's Medicaid managed care MLR reporting and oversight processes. While no immediate remittance was required, implementing the recommendations will enhance compliance, accuracy, and program integrity.

Findings: 2
Recommendations: 10

Open evidence record

Source status: Original source