FCA-2015-4440

This audit determined Medicaid eligibility determination and timeliness error rates across 10 sampled counties. Medicaid eligibility determination error rates ranged from 1.2% to 23.3% for new and re-certification applications at the 10 sampled counties. Timeliness error rates ranged from 0.0% to 26% for the same 10 counties. The audit found that most of the 10 counties' departments of social services and the Department of Health and Human Services did not provide adequate oversight or controls for the eligibility determination process. The 10 counties' departments of social services and the Department of Health and Human Services agreed with the findings.