OIG Audit: Medicaid Agencies Made $207M in Unallowable Payments for Deceased Enrollees

Wed, 11 Feb 2026 16:35:55 +0000
Healthcare

The HHS OIG has released an audit report finding that Medicaid agencies made an estimated $207.5 million in unallowable capitation payments to managed care organizations on behalf of deceased enrollees between July 2021 and June 2022. The report recommends CMS provide agencies with data to recover payments and explore OBBB Act implementation.