Medicaid Program – Virginia

Ineligible Medicaid recipients cost Va. millions, By Jim Nolan, October 13, 2011, Richmond Times-Dispatch: “Errors by local Department of Social Services caseworkers in enrolling ineligible Medicaid recipients are responsible for the greatest number of improper payments in Virginia’s share of the program, according to an extensive review by the legislature’s watchdog agency. It found that the state’s administration of the Medicaid program is overly complex and not automated. It also needs investments in technology and greater oversight to guarantee it is not overpaying managed-care organizations for services. Errors in enrolling ineligible recipients could have cost the state somewhere between $18 million and $263 million in fiscal 2009, according to the report – requested by lawmakers in 2010 and presented Tuesday to lawmakers by the Joint Legislative Audit and Review Commission…”