Department of Health and Human Services

Office of Inspector General -- AUDIT

"Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Missouri and Kansas for July 1, 2005, Through June 30, 2006 - Missouri Department of Social Services," (A-07-07-04078)

February 14, 2008


PDF File Complete Text of Report is available in PDF format (1.2 mb). 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 Missouri Department of Social Services (the State agency) made payments on behalf of beneficiaries who should not have been Medicaid-eligible due to their eligibility in Kansas.  For the period of July 1, 2005, through June 30, 2006, we estimate that the State agency paid $82,602 ($50,994 Federal share) on behalf of beneficiaries who should not have been eligible due to their Medicaid eligibility in Kansas.  We attribute the Medicaid payments made on behalf of beneficiaries who were not eligible in Missouri to the insufficient sharing of eligibility data between the State agency and Kansasís Medicaid agency. 

We recommend that the State agency work with the Kansas 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 $82,602 ($50,994 Federal share), made on behalf of beneficiaries residing in Kansas.  The State agency concurred with our first recommendation but not our second recommendation.