Auditor questions spending, lack of oversight for Medicaid, child care programs

1 year 3 months 2 weeks ago Tuesday, April 04 2017 Apr 4, 2017 Tuesday, April 04, 2017 3:16:00 PM CDT April 04, 2017 in News
By: Shanna Grove, KOMU 8 Reporter
loading

JEFFERSON CITY – Missouri State Auditor Nicole Galloway issued the first report in the Budget Integrity Series related to budget oversight, accountability and the state’s budget crisis.

The Statewide Single Audit looks at the state's management and spending of $8.4 billion federal dollars.

The review found lack of accountability in the Department of Mental Health and the Department of Social Services, which are two agencies that administer federal funds.

Five of the six findings in the report were repeated issues from previous audits.

“With the Department of Mental Health, we found they were approving payments to group homes that weren’t supported by any documentation and that added up to about a one million dollars," Galloway said. "And the Department of Social Services, we’ve found questionable payments, we found inadequate oversight, poor handling of cash and potential for child care providers to get payments they weren’t eligible for really putting a strain on taxpayer dollars.”

Taxpayers share concern over the findings.

“I’m retired army, and I opened my own business, so the taxes that I do pay, I want it to go to the appropriate places and be spent well and not wasted,” business owner Jason Allabaugh said.

The Department of Mental Health released a statement responding to the audit finding.

“In Fiscal Year 2014, the DMH Division of Developmental Disabilities began transitioning to a new reimbursement process.  Some of the rates sampled by the State Auditor were from historic reimbursement rates. The current rates being paid to providers are below market levels. The Division’s Medicaid Waiver was updated in July 2016 and reflects the new reimbursement process,” said Debra Walker, with the Missouri Department of Mental Health.

A new issue this year shows the Department of Social Services did not meet federal requirements to review eligibility for certain doctors, hospitals and health care providers.

“The Medicaid and Children's Health Insurance Program (CHIP) requirements were put in place to determine whether existing health care providers are eligible to receive reimbursement from the state," a statement from Galloway's office said. "Although the department had at least five years to prepare for the new requirements, 87 percent of providers had still not been reviewed, creating a total backlog of approximately 28,000 providers pending review. The growing backlog also increases the possibility that tax dollars will go to unauthorized health care providers.”

The Department of Social Services released a statement saying it partially agrees with some of the audit findings, disputing certain issues within the report.

Galloway also found reoccurring concerns with safeguards to stop inappropriate payments through the Department of Social Services child care program. According to the release, the program helps pay child care costs for around 64,000 children and costs more than $135 million annually.

For the seventh year, auditors are unsure of the department's capacity to prevent or detect payment to ineligible clients and child care providers.

“The audit also found 39 closed pharmacies that were still enrolled and authorized to receive Medicaid and CHIP payments,” according to the release.

Galloway said, in programs where the state and federal government pay for the cost of providing services together, inappropriately-spent tax money can potentially add stress on a state budget that is already facing a shortfall next year.

 

 

 

More News

Grid
List
COLUMBIA - A Columbia mom said she almost got on the duck boat that capsized on Table Rock Lake with... More >>
4 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 10:28:00 PM CDT July 22, 2018 in Top Stories
JEFFERSON CITY - After eight years serving in the Missouri House of Representatives, Rep. Gail McCann Beatty's, D-Kansas City, resignation... More >>
8 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 6:12:00 PM CDT July 22, 2018 in News
LAKE OF THE OZARKS - This recreational lake was just five spots shy of being the most dangerous place to... More >>
9 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 5:55:00 PM CDT July 22, 2018 in News
BRANSON (AP) — A memorial service is scheduled for the people killed when a tourist boat sank in a Missouri... More >>
13 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 1:39:00 PM CDT July 22, 2018 in News
SPRINGFIELD (AP) — Missouri residents may see a limited elk hunt in 2020 if the state's elk herd continues to... More >>
14 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 12:16:00 PM CDT July 22, 2018 in News
(CNN) -- President Donald Trump's lawyers have waived attorney-client privilege on his behalf regarding a secretly recorded conversation he had... More >>
15 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 11:49:18 AM CDT July 22, 2018 in News
COOPER COUNTY - A Blackwater man has died after being hit by a truck on Friday July 20, according to... More >>
16 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 10:42:15 AM CDT July 22, 2018 in News
BRANSON (AP) — "Grab the baby!" Those were the last words Tia Coleman recalls her sister-in-law yelling before the... More >>
17 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 9:59:07 AM CDT July 22, 2018 in News
IOWA CITY, Iowa (AP) — One app promotes itself as a way to discuss sensitive negotiations and human resources problems... More >>
17 hours ago Sunday, July 22 2018 Jul 22, 2018 Sunday, July 22, 2018 9:54:58 AM CDT July 22, 2018 in News
WASHINGTON (AP) — President Donald Trump's choice for the Supreme Court has given members of Congress a pile of material... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 2:52:51 PM CDT July 21, 2018 in News
WASHINGTON (AP) — The maker of a permanent contraceptive implant subject to thousands of injury reports and repeated safety restrictions... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 2:28:05 PM CDT July 21, 2018 in News
(CNN) -- The man accused of carrying out last month's deadly shooting at a Maryland newspaper has been indicted on... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 1:42:30 PM CDT July 21, 2018 in News
COLUMBIA - The 2018 Show-Me State Games kick off Friday, bringing thousands of athletes, coaches and fans from around the... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 1:15:00 PM CDT July 21, 2018 in News
ASHLAND – Seven locations throughout the state are open Saturday for parents to come and get their children I.D.’d, free... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 12:58:00 PM CDT July 21, 2018 in News
(CNN) -- Gracelyn Mae Violet Griffin already had a "Little Nugget" onesie picked out for her before she arrived in... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 12:35:28 PM CDT July 21, 2018 in News
JEFFERSON CITY (AP) — An organization backing one of three competing medical marijuana initiatives in Missouri has continued to bring... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 11:26:00 AM CDT July 21, 2018 in News
COLUMBIA - A group of Columbia moms is starting Missouri Disability Empowerment, a new organization with big goals to help... More >>
1 day ago Saturday, July 21 2018 Jul 21, 2018 Saturday, July 21, 2018 6:33:00 AM CDT July 21, 2018 in News
LAKE OF THE OZARKS - 64 years later, a different lake and nearly triple the death toll, the duck boat... More >>
2 days ago Friday, July 20 2018 Jul 20, 2018 Friday, July 20, 2018 9:12:00 PM CDT July 20, 2018 in News
Columbia, MO
Broken Clouds 67°
3am 67°
4am 67°
5am 66°
6am 66°