Monday, March 19, 2012

Medicaid Audit Underway

  • {Frankfort, Kentucky}...State Auditor Adam Edelen told the Program Review and Investigations Committee Monday that an in-depth audit of the state's Medicaid system should be completed by early 2013. Edelen reported to the committee the findings from an initial review his office completed of the switch to Medicaid managed care after the state moved more than 560,000 people in Medicaid to managed care on November 1st. Edelen said he believes in managed care, but the managed-care companies did not have adequate staff and the providers and third-party billing companies used by doctors to submit claims to insurance companies were not prepared for the November 1st switch. Edelen said that he has established a special unit in his office to handle the $6 billion Medicaid program.