The follow-up audit found limited progress by the Health Care Authority in expanding Medicaid lead exposure testing, with none of the prior recommendations fully implemented as of May 2026.
The audit highlights significant financial waste due to concurrent Medicaid enrollments, emphasizing the need for improved communication, data sharing, and federal solutions to prevent unnecessary premium payments and optimize Medicaid spending.
Washington State has not ensured adequate lead testing for children enrolled in Medicaid, despite the known risks and federal requirements. Testing rates are low and variable, especially among high-risk populations, indicating a need for improved monitoring, guidance, and outr…
Medicaid is a significant public assistance program in Washington, requiring robust program integrity efforts to ensure proper use of funds. While HCA has taken steps to improve oversight, there are opportunities to strengthen strategic planning, performance measurement, and o…