Medicaid
For Immediate Release
COLUMBUS — More than half of Ohio Department of Medicaid-reimbursed home health services in 2022 were processed without new electronic verifications mandated by the federal government, according to a recent review by the Auditor of State’s Office.
For Immediate Release
COLUMBUS – More than 124,000 people enrolled in Ohio’s Medicaid Program were simultaneously enrolled in Medicaid programs in other states, according to a report released Tuesday by Ohio Auditor of State Keith Faber.
For Immediate Release
Columbus – State auditors identified nearly $691,000 in improper Medicaid payments to a Warren County business for durable medical equipment it could not prove was delivered to patients or was otherwise not authorized to provide, Auditor of State Keith Faber announced Tuesday.
State auditors found that a Hamilton County provider of home health and personal care aid services improperly billed the state for more than $1 million in work was ineligible for payment from the Ohio Department of Medicaid.
Overpayment to Richland County Company is Largest Since Auditor Yost Took Office in 2011
A Mansfield-based addiction treatment program owes almost $11 million to the state for services that were unsubstantiated or ineligible for reimbursement from the Ohio Department of Medicaid.
Geographic Price-Spread Disparities Found in Medicaid Pharmacy Payments
Ohio's Pharmacy Benefit Managers (PBMs) charged the state a “spread” of more than 31 percent for generic drugs – nearly four times as much as the previously reported average spread across all drugs, according to a new report by Ohio Auditor of State Dave Yost.
Auditor of State Dave Yost announced today the review by his staff regarding the fees retained by Pharmacy Benefit Managers (PBMs) to handle the state’s pharmacy management will be released to the Joint Medicaid Oversight Committee at its Aug. 16 meeting.
A Stark County provider of behavioral health services billed the state almost $840,000 for services that were ineligible for payment from the Ohio Department of Medicaid (ODM), state auditors found.
A new report by the Ohio Auditor of State’s office shows the number of Ohio Medicaid recipients with an opioid-related diagnosis (dependence, abuse or overdose) climbed 430 percent between 2010 and 2016, with the state now providing assistance to a soaring number of Ohioans addicted to opioids.
A Franklin County home health agency owes the state more than $2 million, primarily because the company billed the Ohio Department of Medicaid (ODM) for services it was not yet authorized to provide.
A Franklin County Medicaid provider that administered some of its care with unqualified staff improperly billed the state for more than $900,000 worth of services, according to a report released today.
Pending Legislation Would Establish Additional Safeguards for State’s High-Risk Medicaid Providers
Medicaid providers who are unqualified or lack records to justify payments for services have repaid only a fraction of the tens of millions of dollars they owe to the state, according to a special report released today by Auditor of State Dave Yost.
A state review of a Scioto County Medicaid provider uncovered almost $128,000 in improper payments stemming from errors in service documentation and a lack of first aid training.
An unresponsive Franklin County Medicaid provider owes the state three years’ worth of Medicaid payments because she failed to provide any documentation to support nearly 2,500 services billed to the state.
Medicaid Effort Part of Auditor Yost’s Culture of Accountability
Compliance examinations to verify whether Medicaid providers have sufficient documentation to support payment have led to repayment demands totaling nearly $10.6 million in 2017, Auditor of State Dave Yost announced today.
An Ashtabula County Medicaid provider owes the state more than $119,000 because she allegedly threw away records needed to support all of the services she was paid for during a three-year period.
A Medicaid examination released today by Auditor of State Dave Yost uncovered more than $82,000 in overpayments to a Summit County provider who lacked documentation to support hundreds of services she billed to the state.
Overpayment to Hamilton County Provider is Second Largest Since Auditor Yost Took Office in 2011
A home health agency in Hamilton County owes the state $4.51 million for Medicaid overpayments and interest stemming, in part, from patient care provided by nearly 80 unqualified employees.
A care facility in Stark County received more than $11,000 in Medicaid reimbursements during 2015 for services that never occurred, state auditors found.