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Kansas Inspector General sees rising Medicaid complaints, urges MCOs to provide EOBs to beneficiaries
Summary
Kansas Office of the Inspector General reports rising fraud-related complaints in the Medicaid program and recommends managed-care organizations send beneficiaries explanation-of-benefit notices to help uncover fraudulent claims.
Steve Anderson, Kansas inspector general, told the Robert G. (Bob) Bethell Joint Committee on Home and Community Based Services and KanCare Oversight on July 9 that complaints alleging fraud, waste and abuse related to the Kansas Medicaid program have climbed sharply. Anderson said his office had received 758 complaints so far in 2025, about 95 more than the same point in 2024, and noted the office processed 1,454 complaints in calendar year 2024.
Anderson said the majority of complaints the OIG receives concern eligibility fraud. He told lawmakers his office received a budget enhancement this fiscal year that allowed three additional staff dedicated to Medicaid work. The OIG also requested statutory changes to expand its investigative authority under KSA 75-7427 to include cash and food assistance programs.
A central recommendation Anderson presented to the…
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