Frank J Mautino

Audit slams state agency that oversees Medicaid for inadequately monitoring $7.11 billion in payments

Audit slams state agency that oversees Medicaid for inadequately monitoring $7.11 billion in payments

The state agency responsible for overseeing Medicaid in Illinois failed to properly monitor $7.11 billion in payments made to and by managed care organizations, according to a report issued Tuesday by the Illinois auditor general.

The report, requested by the state legislature last May, comes as Illinois shifts hundreds of thousands more people into the Medicaid managed care program and raises questions about its ability to oversee the expanded program.

Medicaid managed care organizations, or MCOs, are private insurers that administer benefits for Medicaid, a state and federally funded insurance program for the poor. The state pays the organizations a set amount per person per...

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