Public audit ledger

Medicaid audit reports

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Evidence register

3 reports

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Published: Jul 16, 2025
Jurisdiction: Illinois

Publishing agency: Illinois Office of the Auditor General
Report ID: REPORT 35

Performance Audit of Medicaid Eligibility Determinations for Long-Term Care

The audit identified significant delays, data inaccuracies, and reporting deficiencies in Illinois' Medicaid long-term care eligibility process. While some system enhancements have been implemented, issues remain with timeliness, data integrity, and reporting practices. The ag…

Findings: 0
Recommendations: 0

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Source status: Original source

Published: Feb 26, 2025
Jurisdiction: Illinois

Publishing agency: Illinois Office of the Auditor General
Report ID: REPORT 21

Performance Audit of the Health Benefits for Immigrant Seniors and Adults

The audit revealed significant discrepancies between estimated and actual enrollment and costs, issues with data accuracy and eligibility verification, and the need for improved controls to prevent ineligible or duplicate enrollments. These findings highlight the importance of…

Findings: 0
Recommendations: 0

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Source status: Original source

Published: Jan 1, 2018
Jurisdiction: Illinois

Publishing agency: Illinois Office of the Auditor General
Report ID: REPORT 23

Performance Audit of Medicaid Managed Care Organizations for Fiscal Year 2016

HFS failed to maintain complete and accurate data to monitor payments to and from MCOs, leading to potential overpayments, duplicate payments, and lack of oversight on costs and claims processing.

Findings: 0
Recommendations: 0

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Source status: Original source