Wisconsin Received Some Unallowable Bonus Payments

Under the Children's Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in Medicaid. Some of the bonus payments that Wisconsin received for the audit period were not allowable in accordance with Federal requirements. Although most of the information used to determine Wisconsin's bonus payments was accurate, the baseline enrollment was understated and not calculated in accordance with Federal requirements. As a result of the understated baseline enrollment, CMS overpaid Wisconsin $198,000 in bonus payments during our audit period.