Review of Medicaid Support for Graduate Medical Education in Ohio During Fiscal Year 2000

EXECUTIVE SUMMARY:

Our objectives were to determine whether (1) Ohio followed the approved State plan in administering the Medicaid graduate medical education program and (2) intergovernmental transfers included any program funds.  We found that contrary to the State plan, Ohio paid $1.4 million ($823,883 Federal share) in Medicaid graduate medical education funds to 18 non-teaching hospitals.  The payments were made because Ohio did not periodically update information on hospital eligibility.  Concerning our second objective, we found that intergovernmental transfers did not involve graduate medical education funds. 

We recommended that Ohio report a $823,883 financial adjustment and review the eligibility of each teaching hospital annually. The State questioned the basis for the recommended financial adjustment, but did indicate that Ohio would collect the funds that are due back from the hospitals.