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Audit finds missing functional assessments in HCBS waivers; auditors estimate hundreds of millions in unsupported capitation payments
Summary
A follow‑up audit of home‑and‑community‑based services found required functional assessments were not completed for many waiver recipients; auditors cited roughly $238 million in capitation payments lacking required assessments and identified 721 beneficiaries with gaps longer than four years.
Auditors told the Public Health and Welfare committee they completed a follow‑up review of home‑and‑community‑based services (HCBS) waivers and found persistent problems with the CAMIS tracking system and with failure to complete required functional assessments.
The presenter said the 2022 audit findings were not fully corrected: CAMIS remains unchanged and many beneficiaries lacked annual…
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