Ohio Department of Medicaid · March 26, 2024 · Primary source
Ohio Medicaid’s Full Response to the Auditor of the State Report Regarding Potential Concurrent Enrollment ODM has made great strides in improving the integrity of its program and connecting families and communities with the healthcare they need. March 26, 2024
Summary
Ohio Medicaid published its formal response to an Ohio Auditor of State report alleging potential concurrent Medicaid enrollment across multiple states, disputing the audit's $209 million estimated fiscal impact figure and challenging the methodology. ODM contends the auditor failed to account for federal COVID-19 public health emergency continuous enrollment requirements that prohibited disenrollment during most of the 48-month audit period, and that the auditor refused to provide the underlying sample data necessary for ODM to validate findings. ODM separately notes it reduced its eligibility error rate from 43.9% in 2019 to 8.23% in reporting year 2022.
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