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Legislative auditors report 45 findings, flag Medicaid oversight problems in 2024 single audit
Summary
Legislative audit staff told JFAC they identified 45 findings (7 repeats) in the state's 2024 single audit, highlighted material weaknesses in Medicaid special tests and managed‑care oversight, and asked the committee to prioritize follow‑up items.
April Renfro, legislative audit division manager, presented the 2024 statewide single audit to the Joint Finance‑Appropriations Committee and said auditors identified 45 findings across state agencies, including seven repeat findings.
Renfro said the state reported about $5.4 billion in federal assistance that was part of the audit scope (excluding colleges/universities and the Idaho Housing and Finance Authority). She noted auditors designated 21 federal programs as "major" for the year; Medicaid was by far the largest program under review and accounted for roughly $3.0 billion of the federal assistance figure.
The audi…
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