The audit identified significant deficiencies in internal controls over AD Waiver payments, EVV verification, and related processes, resulting in observable overpayments and the risk of continued improper payments. The Department has implemented some corrective controls (e.g.,…
The DHHS procedures for identifying deaths, updating records, and recouping post-death Medicaid payments were found to be insufficient to prevent improper disbursements to MCOs. While some adjustments and recoupments have begun, there are notable opportunities to strengthen in…