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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-04-14-08036
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.

Report Type
Audit
Location

KY
United States

Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0

Department of Health & Human Services OIG

United States