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Complete Text of Report is available in PDF format (1.34 MB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.
EXECUTIVE SUMMARY:
The objective of this review was to determine whether medical assistance costs claimed by Washington State (State) for the school-based health services program were allowable and adequately supported. We found the State did not adequately implement and monitor the program. As a result, we determined the State submitted claims for unallowable costs for: (1) services that were not covered under Medicaid or properly documented ($3,818,252); (2) billing fees that were not reimbursable ($573,728); and (3) services provided to children who were not Medicaid eligible ($15,819). Based on a projection of a statistical sample, we estimated the errors to total at least $4,407,799 ($2,279,752 Federal share). We recommended procedural improvements and a financial adjustment for $2,279,752.
