Illinois Medicaid Audit Reports
Review Medicaid audit findings, recommendations, and oversight activity for Illinois. Use this page to jump into report summaries or continue exploring the full library.
Recent Reports
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, i...
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 in...
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.