Submitting OIG:
Report Description:
In prior audits of school-based administrative and health services costs that States allocated to Medicaid using random moment sampling (RMS), we identified significant overpayments. After conducting a risk assessment ofKentucky’s Medicaid AdministrativeClaiming program, we determined that Kentucky claimed significant Medicaid school-based administrative costs based on its RMS. We conducted this audit because of the significant amount claimed and our prior findings related to costs that States allocated to Medicaid using RMS.Our objective was to determine whether Kentucky claimed school-based Medicaid administrative costs in accordance with Federal requirements.
Date Issued:
Thursday, June 24, 2021
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-17-00113
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
KY,
United StatesType of Report:
Audit
Questioned Costs:
$29,431,268
Funds for Better Use:
$0
Number of Recommendations:
6