Conn. Auditors Find Control Weaknesses Around Medicaid Eligibility

A recently released audit of Connecticut state operations during the 2017-18 fiscal year by the state Office of the Auditors of Public Accounts found several issues with the state’s administration of federal financial assistance programs, particularly Medicaid.

Among the auditors’ findings were several issues with the state Department of Social Services’ administration, including staff not entering Social Security numbers into either of two eligibility systems; poor communication with the state’s Medicaid Fraud Control Units, resulting in delays and continued payments to suspected fraudulent medical providers; and weakness in the department’s management of the sensitive data of program participants.

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Auditors concluded that the department might have provided Medicaid benefits to people who were not eligible, and they recommended that the department strengthen its internal controls and, in some cases, return some of its reimbursement to the federal government.

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