Wednesday, August 8, 2018

State Auditor Demands Repayment of Medicaid Money

State Auditor Shad White issued the following statement. 


The Mississippi Office of the State Auditor (OSA), in collaboration with the Mississippi Division of Medicaid, has identified and begun to recover $616,447 in improper payments made to Managed Care Organizations by Medicaid.


Each month, Medicaid makes payments to Managed Care Organizations, the companies that ensure medical coverage is provided to more than 70% of Medicaid beneficiaries. After review, OSA and Medicaid jointly determined that improper payments had been made to Managed Care Organizations and should be recovered.

A disallowed payment is one which is not permitted under Medicaid program rules. Examples from this project include payments made on behalf of deceased individuals or those admitted into long-term care facilities.

Medicaid has begun the process of recovering these funds from the insurance companies and ensuring that agency protocol prevents these improper payments from being processed in the future. OSA will assist as necessary.

State Auditor Shad White said, “We used new ‘big data’ techniques to identify these funds that were spent in error. Creating efficient government is a priority, and I am excited about the relationship my office has formed to ensure taxpayer dollars are being spent appropriately.”

OSA and Medicaid have collaborated throughout this project by coupling technical expertise with shared data to improve accountability to taxpayers. Both OSA and Medicaid will continue this collaboration to ensure public funds are spent appropriately.

“I believe being responsible stewards of taxpayer dollars is one of the highest duties of any state agency,” said Medicaid Executive Director Drew Snyder. “I appreciate the good work that the State Auditor’s Office and the team at Medicaid have done and continue to do in identifying and preventing payment errors.”
 

20 comments:

Anonymous said...

Self congratulations. Drivel. I am surprised that you brought it.

OSA: We did our job today.

Medicaid: We did too!

So what?

Anonymous said...

@5:05

*old State Auditor does nothing for years*

Response: “I’m mad!”

*new State Auditor does something in the first month*

Response: “Drivel! Bah Humbug!”

You sound like that bald guy in Madison that cries about everything. Congrats.

Anonymous said...

Why didn't they catch it before it was paid out the first time?

Anonymous said...

Shad White is young- about my age. I’ve met him a few times seems like a sharp and decent dude I hope he nails this job.

Anonymous said...

Medicaid is a joke. They don't take care of old people they rip off old people shame on you Medicaid. Thanks for nothing.

Anonymous said...

So what company(s) has to repay, and how much?

Is it a Mississippi company?

Pretty vague announcement from a Rhodes Scholar. Will he continue to obfuscate?

When will he investigate the Lil' Tater road scandal?

Anonymous said...

"You sound like that bald guy in Madison that cries about everything. Congrats. August 8, 2018 at 7:09 PM"

Respect your parents, son. He's your daddy.

Anonymous said...

Sounds more like wrapping up loose ends that Pickering failed to follow-through with.

Anonymous said...

Those criticizing the new auditor are missing a couple of key points.

First, he IS doing his job - it was "Medicaid Director Drew Snyder" (or whoever was ultimately responsible) who was not doing their job by allowing the payout of money that should not have been paid out. In other words, why is the OSA having to wipe Medicaid's rearend?

Second, Auditors, apparently surprising to some, audit, which takes time when everything is in order, more time when things aren't in order and even more time when someone is actively attempting to conceal something. Look up the definition of "auditor" if you must, and if your source says, "goes off half-cocked while making assumptions, guessing, and jumping to conclusions," find another source. Your source has confused "typical Internet commentator" with "auditor."

A third thing. At least he isn't Stacy "You just got a new garage door, what are you doing next? I'm going to Disneyworld!" Pickering, so that ought to get him a few months or "wait and see."

Anonymous said...

My biggest question is how long has this investigation been going on? Can Chad White really take credit for this after four weeks in office?

Louis LeFleur said...

While it didn't take long for the Shad to hit the fan, 7:37 is correct. No way this audit began after Shadrach White was appointed. The agency finished a job that was already in process. He does, however, get kudos for using the buzzword "big data".

Anonymous said...

This is attributable to Snyder more than White. White's still finding where to hang his coat. They didn't initiate and complete this under his watch. As much as this is commendable for Snyder, it's an indictment of Dzeliak. He ran Medicaid for 6 years and I don't ever remember something like this. I wonder why...

Anonymous said...

Was there no list of the Managed Care Organizations?

Anonymous said...

Dzeliak was an irrelevant hoot. I dealt with Medicaid supervisors and managers who could not even tell me his name. The whole place should be bulldozed. Nothing but a PERS holding pen for JSU graduates.

Anonymous said...

$616,447 over how many years? Honestly, that doesn't seem like that much money - only a few hundred claims really.

Anonymous said...

@7:37 Of course the new guy can take credit, because the old guy wasn't telling anyone what he was/wasn't doing.....it seems Shad White intends to be transparent which should concern a large part of Mississippi gub'mint.

Anonymous said...

Two Bryant appointees doing a press release stating that they are doing their jobs and throwing everybody else under the buss. That's like bragging that you flushed the toilet.

Anonymous said...

loving me some shad. wouldn't mind him run and beat Tate then Jim for Gov. This Shad guy is transparent...

Anonymous said...

Nowhere in this press release does it say even once that the State Auditor did an "audit" of anyone at Medicaid. It does say that the State Auditor collaborated with the Division of Medicaid and did a data analysis to find claims that should not have been paid. That's what both the State Auditor and the Division of Medicaid is supposed to do, and they did it in collaborative fashion here. Sad to read so many people thinking that collaboration among state agencies is ho-hum and insignificant. When's the last time you heard about the AG collaborating with anyone?

Anonymous said...

Collaborating with the social worker AG? Never. His political career is over. His wife said so. His heart was never in it anyway....just rode Mike Moore's coattails for while. No talent. No guts.

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