$85 Million on Ineligible Patients? Louisiana Medicaid May Have Misspent
By Maria Clark
The Louisiana Department of Health may have spent anywhere from $61.6 to $85.5 million more than it should have on Medicaid recipients who are ineligible for the program, according to an audit released Tuesday (Nov. 13).
Legislative Auditor Daryl Purpera’s report found that the LDH’s current process of using wage data during the application and renewal process to determine whether people are eligible for Medicaid is insufficient.
The LDH relies on Medicaid recipients to self-report changes in their wages rather than using wage data from the Louisiana Workforce Commission to identify any changes in earnings that occur in the 12 months between application and renewal, according to auditors.