HHS OIG Audit of Utah Capitation Payments
Summary
The HHS Office of Inspector General (OIG) has issued an audit report, in partnership with the Utah Inspector General, concerning capitation payments made concurrently with another state. The report, dated February 20, 2026, details findings related to Medicaid payments.
What changed
This document transmits the findings of an audit conducted by the Office of the Utah Inspector General (UOIG) regarding capitation payments made concurrently with another state. The audit report, issued on February 20, 2026, has been transmitted to the Center for Medicaid and CHIP Services. The UOIG is responsible for the audit report and its conclusions, while the HHS OIG is not expressing an opinion on the report's results.
This notice serves as an informational transmittal of the audit findings. Regulated entities, particularly those involved in Medicaid capitation payments in Utah, should be aware of the audit's existence and potential implications. No specific compliance actions or deadlines are mandated by this notice itself, but the findings may inform future oversight or policy adjustments by the Center for Medicaid and CHIP Services.
Source document (simplified)
Office of Inspector General’s Partnership With the Office of the Utah Inspector General: Inspector General’s Report Audit of Capitation Payments Made Concurrently With Another State
Issued on
02/20/2026
| Posted on
02/23/2026
| Report number: A-07-23-05136
Report Materials
- Full Report (PDF, 2.3 MB) This memo transmits to the Center for Medicaid and CHIP Services the findings of the Office of the Utah Inspector General: Inspector General’s Report Audit of Capitation Payments Made Concurrently With Another State, issued February 20, 2026. UOIG is responsible for the attached audit report and the conclusions expressed in it. We are not expressing an opinion on the report or its results.
Report Type Audit HHS Agencies Centers for Medicare and Medicaid Services Issue Areas – Target Groups – Financial Groups Medicaid
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.
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