Issued Date
July 12, 2024
Audit Objective
Determine whether the Rensselaer City School District (District) officials claimed Medicaid reimbursements to which the District was entitled.
Key Findings
District officials did not submit claims for all Medicaid-eligible services provided to Medicaid-eligible students and did not correct and resubmit rejected claims. The District also lacked adequate procedures to ensure Medicaid claims were submitted and reimbursed.
As a result, claims were either not submitted or reimbursed for just over 1,260 eligible services totaling $46,338. Had the District claimed all eligible services, it would have realized revenue totaling $23,169.
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.
- Correct and resubmit rejected claims for eligible services.
District officials generally agreed with our recommendations and indicated they planned to initiate corrective action.