OH · Medicaid jurisdiction
Review reports connected to Ohio Medicaid oversight, ordered by publication date.
12 reports
The Ohio Auditor of State's Compliance Examination of New Destiny Treatment Center, Inc. assesses Medicaid program compliance and internal controls for 2021-2023, with attention to billing accuracy, documentation, and program integrity to inform corrective actions and future a…
This metadata-only extract notes a compliance examination of a Medicaid provider in Ohio for the 2021–2023 period. The provided text lacks detailed findings or conclusions, so a complete assessment will require the full report content.
This Public Interest Report, released August 27, 2026, concerns the Ohio Public Benefit Programs with a reporting period of November 1–30, 2025. The provided text lacks explicit audit objectives, findings, or conclusions, suggesting that the accessible excerpt may be a portal…
The public interest audit identifies gaps in eligibility verification within Medicaid, with 10% of sampled recipients lacking verified citizenship, suggesting the need for standardized processes and better interagency data sharing; other programs performed better.
Overall, the state is well-positioned to execute swift corrective action and rectify identified control weaknesses and baseline data issues without delay, leveraging its existing framework to streamline cross-program integration.
Disclaimer of Opinion due to limitation on the scope of the examination; the scope was not sufficient to express an opinion on CarePlus’ compliance with the specified Medicaid requirements for the period January 1, 2021 through December 31, 2023.
In our opinion, except for the effects of the matters described in the Basis for Qualified Opinion paragraph, New Destiny has complied, in all material respects, with the select requirements of behavioral health services for the period of January 1, 2021 through December 31, 2…
The audit identified significant gaps in EVV utilization and matching, with only 44% of claims supported by EVV data in 2022. The Department has made efforts to implement EVV but faces challenges including low provider compliance, technical issues, and stakeholder engagement.…
Based on the sampling results, 59% of PARIS alerts were not worked or not worked timely; this undermines the effectiveness of PARIS in controlling improper capitation payments. The Department’s corrective actions and monitoring efforts are ongoing, and the audit results suppor…
The Department has processes to identify and recoup improper capitation payments, but controls are not sufficiently robust to ensure all improper payments are identified and recouped. The audit identified over $118.5 million in improper capitation payments not recouped for SFY…
The audit identified overpayments totaling $58,540.97 due to billing inaccuracies in room and board, and therapy services. The provider is responsible for repayment, and the Department of Job and Family Services will make final determinations regarding recovery.
The review identified significant non-compliance with Medicaid reimbursement rules by Crest Transportation Service, resulting in overpayments and raising concerns about potential fraud and abuse. The provider’s documentation deficiencies, billing irregularities, and the owner’…