WICS Live: Around the States

Utah: State Failing to Make Medicaid Fraud Recoveries: Results released in mid-August of a legislative audit shows that the state is losing $20 million in funding it could recover in Medicaid funding The Department of Health’s Bureau of Program Integrity, which is charged with checking for waste, fraud, and abuse in the state’s Medicaid program, failed to follow policies regarding prior authorization for services, and, due to an outdated cost-recovery tool, failed to review 78% of inpatient medical records, according to the audit.