Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in Iowa

For the quarter ended March 31, 2009, the majority of the Medicaid costs that the Iowa Department of Human Services (the State agency) claimed in the eight reviewed line items (as well as a waiver), which totaled approximately $524.2 million (approximately $361.2 million Federal share), was adequately supported by actual recorded expenditures. However, the State agency incorrectly paid $1,100 ($900 Federal share) in incorrect payments that were not recovered prior to our identification of these as duplicates of claims previously paid. The State agency also incorrectly paid $9.2 million ($6.8 million Federal share) for two claims to different physicians due to data entry errors. The State agency identified the data entry errors before the checks were cashed and before claiming these costs for Federal reimbursement.