May 24 2007

Medicaid Audit Findings…

Published by SVC Alumnus at 10:17 pm under Evergreen Freedom Foundation, Northwest, Washington

I hate to sound like I'm letting the Evergreen Freedom Foundation do my blogging for me, but I have had to put in some late hours lately and EFF has done wonderful in standing up for government accountability so here goes highlights:

Immediate Federal Clarification Needed on Medicaid Audit Findings

A long-awaited report provided to the state last week by the Centers for Medicare and Medicaid Services (CMS) failed to resolve the lingering disagreement over audit problems identified in Washington’s Medicaid program. This means this year’s audit of the program will likely once again yield repeat findings.

. . .

EFF continues to demand state action
The Evergreen Freedom Foundation (EFF) also sent a letter to the governor on May 22, requesting that the governor and SAO write a joint letter to CMS demanding clarification of the federal government’s position concerning the state’s Medicaid audit findings. EFF reported to the governor that “the pressure needs to be raised on CMS/OIG to expeditiously clarify the federal government’s position.” EFF has been requesting the governor and legislature seek clarification of the conflict since last year.

Conclusion
Unfortunately, the long-awaited review by CMS and OIG of the state’s Medicaid audit has failed to alter the status quo, making repeat audit findings highly likely this year.

Failure to elucidate the rules could leave the state vulnerable to legal action against the Office of Financial Management for failing to cause corrective action as required by law should SAO once again issue the same Medicaid audit findings.

Regarding audit findings, RCW 43.88.160(6)(D) reads in-part: “It shall be the duty of the director of financial management to cause corrective action to be taken within six months, such action to include, as appropriate, the withholding of funds as provided in RCW 43.88.110.”

This means there should not be repeat audit findings.

If you live in Washington State, please call your Governor's Office at (360) 902-4111 or go to http://www.governor.wa.gov/contact/ and leave behind a comment politely asking them to take leadership on these audit findings.

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