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Puerto Rico Medicaid Contracting and Procurement Oversight

The Puerto Rico Medicaid program is a 100-percent managed-care program that provides health services to more than 1 million enrollees. In December 2022, Congress provided the Commonwealth of Puerto Rico additional funding for the program under the Consolidated Appropriations Act, 2023, until FY 2027. The law requires OIG to submit to Congress a report on whether Puerto Rico complied with the law's Medicaid contracting and procurement oversight requirements. We will determine whether Puerto Rico: (1) complied with applicable provisions of the Consolidated Appropriations Act, 2023; and (2) designed, implemented, and effectively operated an internal controls system for Medicaid contracts covered by this law in compliance with Federal procurement standards.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
May 2024 Centers for Medicare and Medicaid Services Puerto Rico Medicaid Contracting and Procurement Oversight Office of Audit Services WA-24-0006 (W-00-24-31573) 2024