Indiana Did Not Ensure That Medicaid Payments Were Made Properly for Some Claims Identified as Having Third-Party Coverage

Prior Office of Inspector General and other reports indicated substantial improvements in States’ third-party liability (TPL) identification and recovery efforts. However, the reports also indicated longstanding challenges States had in their TPL efforts. We conducted an audit of Indiana’s efforts to determine whether Medicaid is paying too much for claims in which members were identified as having TPL. Our objective was to determine whether Indiana ensured that Medicaid payments were made properly for claims identified as having third-party coverage.