HHS/OIG, Audit - "Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services Administration," (A-05-06-00070)

Department of Health and Human Services

Office of Inspector General -- AUDIT

"Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services Administration," (A-05-06-00070)

January 25, 2008

Complete Text of Report is available in PDF format (535 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

The objective of our review was to determine whether the Indiana Family and Social Services Administration (the State agency) made payments on behalf of beneficiaries who should not have been Medicaid-eligible due to their eligibility in Illinois. For the period July 1, 2005, through June 30, 2006, we estimate that the State agency paid $236,578 ($148,936 Federal share) for Medicaid services provided to beneficiaries who should not have been eligible because of their Medicaid eligibility in Illinois.

We recommended that the State agency work with the Illinois Medicaid agency to share available Medicaid eligibility information for use in (1) determining accurate beneficiary eligibility status and (2) reducing the amount of payments, estimated to be $236,578 ($148,936 Federal share), made on behalf of beneficiaries residing in Illinois. The State agency agreed with the recommendations.