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Audit: Louisiana may have misspent $85M in Medicaid program
Posted on 11/13/18 at 4:06 pm
Posted on 11/13/18 at 4:06 pm
Louisiana's health department may have spent as much as $85 million over 20 months for people enrolled in the Medicaid expansion program who didn't qualify for the government-financed coverage, according to an audit released Tuesday.
Legislative Auditor Daryl Purpera's office found problems with the agency's infrequent use of wage data from the state labor department to determine eligibility.
The report says since Gov. John Bel Edwards expanded the state's Medicaid program in July 2016, the department has relied on Medicaid recipients to self-report changes in their paychecks in the 12-month period between the initial application for Medicaid and coverage renewal.LINK
Legislative Auditor Daryl Purpera's office found problems with the agency's infrequent use of wage data from the state labor department to determine eligibility.
The report says since Gov. John Bel Edwards expanded the state's Medicaid program in July 2016, the department has relied on Medicaid recipients to self-report changes in their paychecks in the 12-month period between the initial application for Medicaid and coverage renewal.LINK
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Posted on 11/13/18 at 4:06 pm to BowDownToLSU
In
Posted on 11/13/18 at 4:07 pm to BowDownToLSU
Auditors suggested more frequent checks using available state wage data should be used to ensure Medicaid recipients aren't earning more than allowed to qualify. Pennsylvania, Wisconsin and other states do quarterly reviews to check eligibility against income data, the report says.
The report also found errors in the work done by health department caseworkers. In addition, auditors said the agency didn't double-check income information when federal officials determined people who applied for individual marketplace insurance coverage through the Affordable Care Act were instead deemed eligible for the Medicaid expansion program. Those federal officials don't have access to state wage data, the report says.
The report also found errors in the work done by health department caseworkers. In addition, auditors said the agency didn't double-check income information when federal officials determined people who applied for individual marketplace insurance coverage through the Affordable Care Act were instead deemed eligible for the Medicaid expansion program. Those federal officials don't have access to state wage data, the report says.
Posted on 11/13/18 at 4:08 pm to BowDownToLSU
quote:
Audit: Louisiana may have misspent $85M in Medicaid program
Let's save the suspense - there is no "may" about it.
Posted on 11/13/18 at 4:12 pm to BowDownToLSU
I'm shocked. Shocked I tell you
Posted on 11/13/18 at 4:16 pm to BowDownToLSU
HONOR CODE
Posted on 11/13/18 at 4:16 pm to BowDownToLSU
and just like that there go the loop funds 
Posted on 11/13/18 at 4:16 pm to BowDownToLSU
Go walk around the some of the government buildings in downtown BR and you will get an idea of the average competency of their workers. I am not surprised at all.
Posted on 11/13/18 at 4:16 pm to BowDownToLSU
quote:
$85 million
They got this number by randomly looking at 100 recipients. 82 of them didn't qualify
Posted on 11/13/18 at 4:17 pm to BowDownToLSU
quote:
the department has relied on Medicaid recipients to self-report changes in their paychecks in the 12-month period between the initial application for Medicaid and coverage renewa
can't make this shite up
Posted on 11/13/18 at 4:21 pm to BowDownToLSU
The worst part of Medicaid is the asshats who have their rich elderly parents in nursing hide their assets so they qualify for Medicaid
An insane amount of Medicaid dollars goes to nursing homes for old people
An insane amount of Medicaid dollars goes to nursing homes for old people
Posted on 11/13/18 at 4:22 pm to BowDownToLSU
no shite
Posted on 11/13/18 at 4:28 pm to BowDownToLSU
Which poster is going to be the first one to blame Jindal?
Posted on 11/13/18 at 4:30 pm to BowDownToLSU
How does this affect Kibbles?
Posted on 11/13/18 at 4:35 pm to BowDownToLSU
quote:
the department has relied on Medicaid recipients to self-report changes in their paychecks
Yeah that's going to happen....
Posted on 11/13/18 at 4:55 pm to BowDownToLSU
Sounds like state needs to go after the individuals that committed fraud
Posted on 11/13/18 at 4:59 pm to BowDownToLSU
Its OK JBE will just cover it with more taxes!
Posted on 11/13/18 at 5:01 pm to HailHailtoMichigan!
quote:
An insane amount of Medicaid dollars goes to nursing homes for old people
Yes, Yes, Yes. In some areas they also get a disproportionate share increase in terms of Medicaid payout 3X the cost.
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