Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review Of Title XXI Hawaii State Children's Health Insurance Program," (A-09-03-00054)

March 11, 2004


Complete Text of Report is available in PDF format (1.47 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


EXECUTIVE SUMMARY:

We found that the State overstated its State Children's Health Insurance Program (SCHIP) expenditures, incorrectly claimed managed care expenditures, and incorrectly reported and claimed SCHIP fee-for-service expenditures.  Also, some beneficiaries did not meet program eligibility requirements.  We recommend that the State credit the SCHIP program for $1,407,199 of overstated expenditures, implement claims processing controls to identify SCHIP expenditures, work with the Centers for Medicare and Medicaid Services to adjust Medicaid quarterly expenditures reports for prior periods, and educate its staff regarding eligibility requirements for the SCHIP program.