Virginia spent as much as $38M covering ineligible Medicaid recipients

The state of Virginia spent between $21 and $38 million covering ineligible Medicare recipients in 2014, according to a state watchdog agency.

The Joint Legislative Audit and Review Commission determined that the Virginia failed to verify Medicaid enrollees who did not report any income or assets. Furthermore, a severe backlog prevented Virginia from reviewing annual Medicaid renewals, meaning Medicaid recipients could remain in the program long after they were deemed ineligible. The report recommended that the Department of Medical Assistance Services change its policy to use electronic data sources to verify enrollees that report zero income, and develop a proposal to address the backlog of renewals. Report