Datapoint: Kansas Overpaid MCOs by Nearly $200 Million, Medicaid Audit Finds

Kansas’ Office of the Medicaid Inspector General earlier this month reported that the state paid more than $190 million in eligible claims to its contracted MCOs for home and community-based services. The audit, which tracked services rendered from January 2018 to April 2021, found nearly 3,000 beneficiaries did not have claims filed for a year or more, and should have been removed from the waiver program. Kansas’ three Medicaid MCOs (Aetna, Centene Corp. and UnitedHealthcare) currently serve 469,012 lives.

Source: AIS’s Directory of Health Plans

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