Medicaid Audit Intelligence

IN · Medicaid jurisdiction

Indiana Medicaid audit evidence

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

Evidence register

2 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 2023
Scope
Multi-jurisdiction
Source authority
Federal
Publishing agency
U.S. Department of Health and Human Services, Office of Inspector General
Report ID
REPORT 42
Examines
14 jurisdictions · California, Florida + 12 more

Multiple States Made Medicaid Capitation Payments to Managed Care Organizations After Enrollees’ Deaths

The report concludes that improper Medicaid capitation payments to MCOs on behalf of deceased enrollees remain a persistent issue across states, with prior unallowable payments totaling about $249 million and ongoing uncollected federal shares. While CMS has made substantial p…

Findings
5
Recommendations
3
Open evidence record
Source status
Original source