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Audit Objective

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

Key Findings

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

• The District lacked adequate procedures to ensure Medicaid claims were submitted and reimbursed.
• Claims were not submitted for 320 eligible services, totaling $11,862. Had these services been claimed, the District would have realized revenues totaling $5,931, from 50 percent reimbursement of eligible costs.

Key Recommendations

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

District officials generally agreed with our recommendations and indicated they planned to initiate corrective action.