Department of Health

Medicaid Claims Processing for the Six Months Ended September 30, 2007

Medicaid claims are processed and paid by an automated system that is operated by a contractor and overseen by the Department of Health. We examined selected Medicaid claims processed during the six months ended September 30, 2007 to determine whether the claims were processed in accordance with procedures s. We found that the claims were processed in accordance with procedures; however, we identified an error that would have resulted in overpayments of $334,974. The error was corrected, and the overpayments prevented, when we brought the matter to the attention of Department officials.

For a complete copy of Report 2007-S-31 click here.