| Medical Assistance Program |
Health Care Services is unable to reconcile the presumptive eligibility number against the enrollment listing filed with Health Care Services. |
2005-06 |
| Remains uncorrected/agree with finding. Health Care Services is pursuing an automated process to post the presumptive eligibility identification to the State’s MEDS so that records for these recipients can be accessed to authenticate, reconcile, and prevent duplicate issuances of the presumptive eligibility number during the claims adjudication process. |
301 |
| SCHIP (State Children's Insurance Program) |
We were unable to verify the accuracy of detailed expenditures reported by line item or category of service. |
2005-06 |
| Partially corrected. CMS 21 accounting system design meetings have been ongoing, and system requirements have been identified. Design and development will continue until system is finalized and implemented. |
310 |
| Medical Assistance Program |
Drug utilization data was mailed to labelers 14 days late. |
2006-07 |
| Remains uncorrected/agree with finding. There exists a potential system logic change which will reduce the amount of manual review required for blood factor claims. The change is expected to be implemented in April 2009. In addition, Health Care Services has implemented a second printer so that the time required for printing the physical invoices is reduced by four days |
279 |
