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Medicaid Inspector General: 2024 complaints rise; audits of prior authorization and school reimbursements underway
Summary
Medicaid Inspector General Steve Anderson reported increased complaints in 2024, detailed investigations into impossible-hours billing and audits of prior authorization and Medicaid payments to schools, and said some identified savings — including a $12 million state general‑fund impact — require agency action to realize.
Steve Anderson, Kansas Medicaid Inspector General, presented the office’s 2024 annual report to the committee, which included complaint volumes, ongoing audits and examples of alleged provider billing abuse.
Anderson told the committee the office processed 1,454 complaints in calendar 2024, with 1,318 involving allegations of eligibility fraud. He said beneficiary non-eligibility fraud and provider-related complaints also continue, and described categories of preliminary case outcomes (no fraud/no jurisdiction; sent for review to…
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