Corporate Compliance

Government Audit Insider: Florida handled Medicaid payments appropriately

Healthcare Auditing Weekly, March 27, 2007

The state of Florida made accurate and appropriate Medicaid payments on behalf of beneficiaries in 2005, the OIG concluded in a recent audit.

The objective of the audit was to determine the extent to which Florida made Medicaid payments on behalf of beneficiaries who did not meet federal and state eligibility requirements. The audit period covered January 1 through June 30, 2005, when Florida made more than 26 million payments totaling $3.4 billion on behalf of Medicaid beneficiaries.

Florida generally made Medicaid payments on behalf of beneficiaries who met federal and state eligibility requirements and provided adequate documentation of eligibility determinations. OIG attributes the low number of eligibility and documentation errors to the effectiveness of the Florida Department of Children and Families (DCF) policies and procedures.

OIG recommends that DCF use the results of this review to help ensure compliance with federal and state Medicaid eligibility requirements. Specifically, DCF should continue to verify eligibility information and maintain appropriate documentation in all case files. DCF agreed.

Click here to read the entire OIG audit.

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