This audit was conducted to determine the magnitude of defects in NCTracks - North Carolina's Medicaid payment system - and to assess the Department's corrective action plan. Since going live, the NCTracks system has encountered more than 3,200 defects. The Department has an inadequate framework for the timely resolution of NCTracks defects and lacks a comprehensive action plan to address all NCTracks issues. Federal and state government mandated changes have not been implemented within their target or mandatory implementation dates. Auditors also found the state government 'revolving door' creates a perception of bias or conflict of interest. Generally, the Department agreed with our recommendations. Details about each item are provided in the Findings and Recommendations section of the report.

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