Medicaid Audit Intelligence

CT · Medicaid jurisdiction

Connecticut Medicaid audit evidence

Review reports that examine Connecticut Medicaid oversight, including evidence published by state and federal authorities.

Evidence register

3 reports

Published
Dec 2024
Scope
Multi-jurisdiction
Source authority
Federal
Publishing agency
U.S. Department of Health and Human Services, Office of Inspector General
Report ID
REPORT 44
Examines
13 jurisdictions · Alabama, California + 11 more

Twelve Selected States Did Not Accurately Calculate the Federal Share of Medicaid Collections Subject to the Increased COVID-19 Federal Medical Assistance Percentages

Twelve of the thirteen selected States did not accurately calculate the Federal share of Medicaid collections subject to the increased COVID-19 FMAP, resulting in net underreporting of $61.8 million. CMS concurred with all four recommendations and described actions to address…

Findings
5
Recommendations
4
Open evidence record
Source status
Original source
Published
Nov 2022
Scope
Multi-jurisdiction
Source authority
Federal
Publishing agency
U.S. Department of Health and Human Services, Office of Inspector General
Report ID
REPORT 88
Examines
3 jurisdictions · Arkansas, Connecticut + 1 more

The Centers for Medicare & Medicaid Services’ Review Contractors Generally Conducted Medicaid Fee-for-Service Claim Reviews for Selected States Under the Payment Error Rate Measurement Program in Accordance with Federal and State Requirements

CMS’s review contractors adequately conducted Medicaid FFS claim reviews for three States (Arkansas, Connecticut, and New Mexico) under the PERM program in accordance with Federal and State requirements.

Findings
5
Recommendations
1
Open evidence record
Source status
Original source
Published
Mar 2022
Scope
Multi-jurisdiction
Source authority
Federal
Publishing agency
U.S. Department of Health and Human Services, Office of Inspector General
Report ID
REPORT 90
Examines
3 jurisdictions · Connecticut, Pennsylvania + 1 more

The Centers for Medicare & Medicaid Services’ Eligibility Review Contractor Adequately Determined Medicaid Eligibility for Selected States Under the Payment Error Rate Measurement Program

We determined that CMS’s eligibility review contractor correctly determined Medicaid eligibility for the beneficiaries associated with all 100 sampled claims. Based on our sample results, CMS’s eligibility review contractor adequately determined Medicaid eligibility for three…

Findings
3
Recommendations
0
Open evidence record
Source status
Original source