CO · Medicaid jurisdiction

Colorado Medicaid audit evidence

Review reports connected to Colorado Medicaid oversight, ordered by publication date.

Evidence register

3 reports

Published: Feb 2026
Jurisdiction: Colorado

Publishing agency: Department of Health and Human Services Office of Inspector General Office of Audit Services
Report ID: REPORT 157

Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children

Colorado’s FFS Medicaid payments for Applied Behavior Analysis provided to children did not fully comply with Federal and State requirements, resulting in improper and potentially improper payments and highlighting a need for stronger governance, oversight, and guidance to pre…

Findings: 7
Recommendations: 5

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Source status: Original source

Published: May 24, 2024
Jurisdiction: Colorado

Publishing agency: Colorado Office of the State Auditor
Report ID: REPORT 78

Evaluation Of The Colorado Recovery Audit Contractor Program

HCPF’s Medicaid Recovery Audit Contractor program generally adheres to federal and state requirements but requires stronger contract oversight and program management to ensure efficient operation, reduce overpayments, and improve provider billing and education.

Findings: 7
Recommendations: 3

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Source status: Original source

Published: Sep 29, 2023
Jurisdiction: Colorado

Publishing agency: Colorado Office of the State Auditor
Report ID: REPORT 77

Medicaid Correspondence Performance Audit

The audit concluded that the Department of Health Care Policy & Financing’s Medicaid correspondence exhibits significant clarity, accuracy, and completeness problems across CBMS and non-CBMS letters, including duplicated and contradictory messages, missing information, noncomp…

Findings: 3
Recommendations: 0

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Source status: Original source