Though the Centers for Medicare and Medicaid Services has taken steps to make the Medicaid enrollment process more rigorous and data-driven, gaps in beneficiary-eligibility verification guidance and data sharing continue to exist, according to the Government Accountability Office.
In a new audit, GAO found thousands of Medicaid beneficiaries and hundreds of providers involved in potentially improper or fraudulent payments during fiscal year 2011the most recent year for which reliable data were available in four selected states. The statesArizona, Florida, Michigan, and New Jerseyhad about 9.2 million beneficiaries and accounted for 13 percent of all fiscal year 2011 Medicaid payments.
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