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Audit Objective

Determine whether the Granville Central School District (District) maximized Medicaid reimbursements by claiming for all eligible Medicaid services provided.

Key Findings

The District did not maximize Medicaid reimbursements by claiming for all eligible Medicaid services provided.

• The District lacked adequate procedures to ensure Medicaid claims were submitted and reimbursed.
• Claims were not submitted for 465 eligible services totaling $18,022. Had these services been claimed, the District would have realized revenues totaling $9,011, from 50 percent reimbursement of eligible costs.

Key Recommendations

• Establish procedures to ensure all documentation requirements are met to submit Medicaid claims for reimbursement for all eligible services provided.
• Review all unclaimed services and submit any eligible claims for reimbursement.

District officials agreed with our recommendations and indicated they have initiated or planned to initiate corrective action.