OHA Made Hundreds of Thousands in Duplicate Medicaid Payments, Audit Says

OHA made hundreds of thousands in duplicate Medicaid payments, audit says

With looming Medicaid work requirement changes, a new audit identified overpayments that put federal funding at risk in Oregon.

Oregon Medicaid program erroneously paid up to $4.1M due to system errors, audit says

Oregon’s Medicaid program overpaid up to $4.1 million to local healthcare organizations across the state after state officials failed to account for hundreds of duplicate identification codes for enrollees, according to a new state audit.

Major Oregon Medicaid eligibility changes are coming. An audit found the system already has problems

A state audit found weaknesses in Oregon’s Medicaid eligibility system that contribute to enrollment errors and overpayments.

Oregon Medicaid Audit Finds Up to $4.1 Million in Overpayments, Putting Federal Funding at Risk

Secretary of State (SoS) auditors have identified 645 potential duplicate system IDs linked to up to an estimated $4.1 million in Medicaid over-payments, putting Oregon at risk of losing federal funding. The auditors’ report relates to 2020 to 2024, when the Oregon Health Authority (OHA) paid $37 billion to Coordinated Care Organizations (CCOs). Auditors concluded […]