Corporate Compliance

GOV’T AUDIT INSIDER: Need for stronger controls in Arizona

Healthcare Auditing Weekly, December 7, 2004

Arizona made unallowable Medicaid payments totaling $21,058 to fee-for-service (FFS) providers for fiscal year 2003, according to an OIG audit report. They were payments for vaccines obtained at no cost through the Vaccines for Children (VCF) program, and duplicate payments for vaccine administration. OIG recommends that Arizona refund the federal share, implement controls to identify and prevent unallowable and duplicate payments. During the audit, OIG did the following:

  • Held discussions with CMS and Center for Disease Control staff

  • Reviewed Arizona's state plan amendment related to the VCF program

  • Reviewed Arizona's policies and procedures for the VCF program

  • Interviewed key personnel

  • Reviewed related fiscal year 2003 Medicaid paid claims data and Medicaid managed care paid claims data

  • Reviewed other documents provided by Arizona pertinent to the VCF program

    Click here to read the audit report, "Audit of Arizona's Medicaid Payments for Vaccines Obtained through the Vaccines for Children Program for Federal Fiscal Year 2003," (A-09-04-00041), issued November 5.

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