State Audits by Agency or Authority
You can bulk download agency audits issued between 2009 to present.
Health, Department of (Medicaid Program)
Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
Issued: 05/08/24
Medicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
Issued: 04/24/24
Oversight of Managed Long-Term Care Member Eligibility (Follow-Up)
Issued: 03/13/24
Medicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
Issued: 02/23/24
Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
Issued: 01/31/24
Medicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
Issued: 10/25/23
Medicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
Issued: 09/27/23
Medicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
Issued: 09/14/23
Medicaid Program – Reducing Medicaid Costs for Recipients Who Are Eligible for Medicare
Issued: 09/14/23
Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
Issued: 09/13/23
Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
Issued: 08/30/23
Improper Supplemental Maternity Capitation Payments to Managed Care Organizations (Follow-Up)
Issued: 07/20/23
Medicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
Issued: 05/11/23
Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance
Issued: 05/11/23
Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
Issued: 04/12/23
Medicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
Issued: 04/05/23
Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
Issued: 02/13/23
Medicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
Issued: 12/13/22
Medicaid Program – Improper Payments for Brand Name Drugs
Issued: 12/13/22
Medicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
Issued: 10/31/22
Improper Medicaid Payments for Terminated Drugs (Follow-Up)
Issued: 09/08/22
Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers (Follow-Up)
Issued: 09/08/22
Medicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
Issued: 08/19/22
Medicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
Issued: 08/19/22
Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
Issued: 07/13/22
Medicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
Issued: 04/19/22
Medicaid Program – Improper Payments of Medicare Buy-in Premiums for Ineligible Recipients
Issued: 11/29/21
Medicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
Issued: 11/29/21
Overpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
Issued: 11/29/21
Medicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
Issued: 09/21/21
Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
Issued: 08/31/21
Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
Issued: 08/17/21