"Review of State Children's Health Insurance Program Payments in Puerto Rico," (A-02-04-01019)
December 18, 2007
Complete Text of Report is available in PDF format (337 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.
EXECUTIVE SUMMARY:
The Health Department overstated State
Children's Health Insurance Program (SCHIP)
expenditures on its fiscal year (FY) 2002 CMS 64.21U report by $28,301,865 (Federal share
$18,396,212). Despite the reporting error, the overstatement did not have a
financial impact on Federal funds. In addition, contrary to Federal
regulations,
the Health Department retained SCHIP expenditure data for as little as 6
months. Nothing came to our attention to indicate that improper SCHIP
payments were made because of missing documentation.
We recommended that the Health Department: (1) reduce expenditures
reported on the FY 2002 CMS
64.21U by $28,301,865 (Federal share $18,396,212), (2) establish procedures
to reconcile SCHIP expenditures on its CMS 64.21U reports to the
Commonwealth’s Medicaid Development Information System to prevent any future
overstatements, and (3) implement procedures for retaining records that
comply with Federal regulations. The Health
Department concurred with our findings and recommendations.