Robert G. Bethell Joint Committee on Home & Community Based Services & KanCare Oversight 05/06/2026

Kansas Legislature — Health and Human Services Committee · May 6, 2026

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Inspector General overview: OIG audits, fraud trends and investigations

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Inspector General Steve Anderson presented the Office of Inspector Generals staffing expansion, recent audits and growing complaints about eligibility fraud, outlining referrals, ongoing audits and two recent prosecutions. He reported 1,557 complaints in 2025 (1,352 eligibility fraud) and a continuing rise in cases; described an MOU to share data between OIG and DCF; flagged questionable 'pregnant-woman' claims among ages 45+ (62 cases initially reviewed; $230,000 in potential benefit overpayments identified from 28 cases; capitation impact ~$800,000) and said criminal investigations and some

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Kansas legislative health committee hearing covering Medicaid program audits, fraud investigations, Medicaid eligibility and redetermination, pharmacy dispensing-fee proposals, managed-care finances, CCBHC behavioral-health expansion, HCBS waiver status and related audits and pilot projects.

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