State auditors say Michigan improperly spent $160 million
over three years caring for Medicaid recipients needing in-home se
The audit released Tuesday faults the state Community Health
and Human Services agencies and includes two "material" findings that
are more serious. Auditors warn the state could be forced to repay nearly $100
million to the federal government.
The audit says Michigan didn't have service logs, invoices
and other documentation required to support payments made to providers from
2010 to 2013.
State officials agree sufficient documentation wasn't always
obtained and say they're fixing the problem. But they say estimated improper
payments are extrapolations from limited sample sizes and are too high.
The audit also says state caseworkers didn't complete
six-month reviews to ensure clients received the most appropriate care.
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