Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Beta This is a new resource - your feedback will help us improve it.

Audit of Federal Reimbursement Made to States for Certain Medicaid Services and Exclusion of Services That Should Have Been Fully Funded by States

Announced on  | Last Modified on  | Project Number: OAS-26-09-147
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

To qualify for Medicaid, individuals must meet eligibility criteria that include certain Federal and State requirements for income, residency, and citizenship or immigration status.  Many States offer health care programs that cover certain services similar to Medicaid (e.g., family planning services) but are funded entirely with State funds to serve individuals who do not meet Medicaid requirements.  We refer to these programs as State-only programs.  Our objectives will be to determine whether State Medicaid agencies: (1) complied with Federal and State requirements for claiming certain Medicaid expenditures, and (2) properly excluded State-only program expenditures when claiming Federal reimbursement.

TIMELINE

  • March 16, 2026
    Announced
  • Today
    Office of Audit Services In-Progress
  • Est FY2028
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship
Target Groups
-
Financial Groups
Medicaid