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State auditors say inspector general failed to fully oversee Utah Medicaid; legislature refers audit for further review
Summary
Auditors from the Office of the Legislative Auditor General told the audit subcommittee that Utah’s Office of Inspector General did not adequately perform Medicaid oversight, particularly of Accountable Care Organizations, and the committee voted to refer the report to interim and appropriations committees for further review.
Auditors from the Office of the Legislative Auditor General presented a performance audit finding that Utah’s Office of Inspector General (OIG) has not fully met its statutory oversight responsibilities for the state Medicaid program, a roughly $5 billion program, and recommended that the Legislature consider structural changes to improve accountability.
The presentation, led by audit manager Jesse Martinson and senior supervisor Matthias Boone, said the OIG concentrated largely on compliance and claims audits while conducting minimal performance oversight of Accountable Care Organizations (ACOs), which the auditors said account for about $1.4 billion — roughly 28% — of Medicaid spending in Utah. "We would have expected more work to be done to fulfill their mandate in…
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