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Scope of Improper Medicaid Payments Coming in Audit (Corrected)

Oct. 30, 2019, 9:25 PMUpdated: Nov. 18, 2019, 11:29 PM

The first government data in four years showing improper federal Medicaid payments due to erroneous eligibility determinations will come in November.

In testimony before the Senate Finance Committee’s Subcommittee on Health Care, Carolyn Yocom, director of health care at the Government Accountability Office, said the reports will provide much-needed information about the level of wrongful payments in the Medicaid program.

The Centers for Medicare & Medicaid Services stopped doing the audits in fiscal year 2014, choosing instead to work “informally with the states” on ensuring recipients of the low-income health benefit actually met the eligibility criteria.

Roughly $36 billion, or ...