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State auditor flags high eligibility error rates and concentrated home‑health spending in Franklin County

Joint House and Senate Medicaid Committees · March 24, 2026
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Summary

The Auditor of State told a joint Medicaid committee that audits show a roughly 15.6% eligibility error rate in sampled transactions and that Franklin County accounts for about 38% of Ohio’s $1.6 billion in home‑health spending, notably in ZIP codes 43229 and 43231.

The Office of the Auditor of State told the joint House and Senate Medicaid committees that its recent audits found repeat control weaknesses in Medicaid eligibility and a concentrated pattern of home‑health spending.

Auditor Faber told members that a sampled audit showed an eligibility error rate of about 15.6% and warned about the financial significance of that finding: "If you could and you did literally extrapolate, a 15.6% ... error rate could be as much as $4,400,000,000," he said, while adding that other extrapolation methods would yield smaller figures and that extrapolation carries caveats.

Faber also highlighted a striking geographic concentration in…

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