Rocky Mountain Voice

Tag: Medicaid Audit

Federal audit questions nearly $54 million in Colorado Medicaid home-care payments
Rocky Mountain Voice, State, Top Stories

Federal audit questions nearly $54 million in Colorado Medicaid home-care payments

By Jen Schumann | Rocky Mountain Voice Colorado can’t fully document millions of dollars it billed for Medicaid home care. That’s the finding of a new federal audit. The Office of Inspector General wants Colorado to return $8.07 million in federal money it says the state was not entitled to claim for personal care in a single budget year, the one ending June 30, 2024. Auditors questioned another $45.69 million and told the state to work it out with CMS. The $8.07 million is a recommended refund. The $45.69 million is a different story. It’s still under review, and CMS could recover all of it, some of it or none. Either way, nobody has ordered Colorado to repay the full $53.8 million. In the sample, auditors kept hitting records that didn’t add up. Where the care happened. H...
Colorado Budget Strain Deepens as Autism Therapy Audit Threatens $60 Million Medicaid Repayment
The Colorado Sun, Approved, State

Colorado Budget Strain Deepens as Autism Therapy Audit Threatens $60 Million Medicaid Repayment

By Jennifer Brown | The Colorado Sun Therapy centers countered that an abrupt rule change could result in long-term harm for children with autism. Colorado may have to repay the federal government from $60 million to $150 million after auditors found the state Medicaid program has been covering care by uncredentialed behavioral technicians for children with autism.  The financial hit comes as the state is already dealing with a $1 billion budget shortfall and cuts to Medicaid benefits that have affected multiple programs for people with low incomes and disabilities.  Colorado is among several states whose programs were audited by the Office of the Inspector General. The audit is not final and the results are not yet public, but officials at the ...