NC · Medicaid jurisdiction

North Carolina Medicaid audit evidence

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

Evidence register

2 reports

Published: Jul 2025
Jurisdiction: North Carolina

Publishing agency: North Carolina Office of the State Auditor
Report ID: REPORT 66

Performance Audit Report July 2025 Medicaid Provider Enrollment Follow-Up Audit

The Division of Health Benefits did not fully implement prior audit recommendations during 2023, leaving ongoing risks to patient safety and Medicaid integrity from providers with suspended licenses, license limitations, unverified credentials (including DEA), and uncorroborat…

Findings: 4
Recommendations: 6

Open evidence record

Source status: Original source

Published: Feb 2021
Jurisdiction: North Carolina

Publishing agency: North Carolina Office of the State Auditor
Report ID: REPORT 67

Medicaid Provider Enrollment Performance Audit

The Medicaid Provider Enrollment process in North Carolina did not adequately ensure that only qualified providers were enrolled to serve Medicaid beneficiaries or to receive payments. The Division failed to monitor license suspensions/terminations, allowed providers with lice…

Findings: 4
Recommendations: 14

Open evidence record

Source status: Original source