Oklahoma Did Not Always Comply With Requirements for Providing Health Care Services to Children in Foster Care

Oklahoma did not follow its policies and procedures to ensure there was evidence in Title IV-E case files to support that all required health care services were provided to Title IV-E children in foster care. Nor were there Medicaid claims in the State's Medicaid Management Information System to support that all of the children whose case files lacked documentation received the required services.

We recommended that Oklahoma follow its policies and procedures to ensure that Title IV-E eligible children in foster care receive required health care services and that the visits are documented in the children's case files. The State agency agreed with our recommendation and described actions it had taken to address the recommendation.