Submitting OIG:
Report Description:
The internal controls of the Kentucky Health Benefit Exchange (Kentucky marketplace) were generally effective in ensuring that individuals were enrolled in qualified health plans (QHPs) according to Federal requirements. However, we identified deficiencies with maintenance of identity-proofing documentation, verification of eligibility for minimum essential coverage, and resolution of inconsistencies in eligibility data. QHPs are private health insurance plans that each marketplace recognizes and certifies as meeting certain participation standards and covering a core set of benefits.
Date Issued:
Wednesday, October 14, 2015
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-04-14-08036
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
KY
United StatesType of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
2
View Document:
Attachment | Size |
---|---|
41408036.pdf | 1.67 MB |
Additional Details Link: