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HHS supervisors warn state Medicaid changes could increase workload; county to prepare fraud-prevention update
Summary
Health and Human Services advisory committee reported about 9% staff turnover and warned that pending state Medicaid cost-shift proposals and increased audit frequency could substantially increase workload; commissioners asked staff to prepare a comprehensive fraud-prevention report.
Health and Human Services advisory committee members said turnover last year averaged about 9%, with some departures voluntary and others related to restructuring and pay differentials. Staff reported that changes tied to state Medicaid administration could shift costs to counties and increase workload, including moving from annual to twice-yearly checks for specified waivered services.
A committee member said the increased auditing and contact requirements "is twice as much work" and that staff workloads could become difficult to manage without additional resources. Commissioners asked staff to compile a comprehensive fraud-prevention and workload-impact report so the board could be informed and, if necessary, pursue legislative or budgetary responses.
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