Department of Health and Human Services

Office of Inspector General -- AUDIT

"Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Kansas and Missouri for July 1, 2005, Through June 30, 2006," (A-07-07-04079)

February 7, 2008


PDF FileComplete Text of Report is available in PDF format (1.52 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 Kansas State agency made payments on behalf of beneficiaries who should not have been Medicaid-eligible due to their eligibility in Missouri.  For the period of July 1, 2005, through June 30, 2006, we estimate that the State agency paid $113,887 ($68,970 Federal share) on behalf of beneficiaries who should not have been eligible due to their Medicaid eligibility in Missouri.  We attribute the Medicaid payments made on behalf of beneficiaries who were not eligible in Kansas to the insufficient sharing of eligibility data between the State agency and Missouriís Medicaid agency. 

We recommend that the State agency work with the Missouri 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 $113,887 ($68,970 Federal share), made on behalf of beneficiaries residing in Missouri.  The State agency concurred with our recommendations.