Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Inspector General audit finds errors in school‑based Medicaid claims; recommends moving payments to MCOs
Summary
The Kansas Inspector General reported errors in school‑based Medicaid fee‑for‑service payments, including $46 million paid in the audit period that CMS expects to be handled by MCOs, invalid provider identifiers, missing parental consents and background checks; IG recommends shifting payments to managed‑care organizations and improving oversight.
Steve Anderson, Inspector General, told the House Committee on K‑12 Education Budget that his office found numerous problems in school‑based Medicaid fee‑for‑service reimbursements for services delivered January 2021 through January 2023. "We paid out over $46,000,000," Anderson said, describing fee‑for‑service payments the IG believes should have been the MCOs' responsibility under managed care.
The audit focused on three questions: whether KDHE had effective systems to process and track claims, whether policies aligned with federal guidance, and whether IEPs and parental consents supported medical necessity for claims. Anderson said auditors found widespread documentation and processing errors, including an invalid national…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
