Medicaid Inspector General Releases Report on HCBS Waiver Program

KANSAS, April 13 – TOPEKA – (April 13, 2022) – Kansas Medicaid Inspector General Steven D. Anderson today released a report examining the Kansas Medicaid program, concluding that the agency responsible for administering the Home and Community Services (HCBS) program lacks an effective system for tracking the re-determination of beneficiaries in the HCBS program.

The audit covered the HCBS program administered by the Kansas Department of Health and Environment (KDHE) and the Kansas Department for Aging and Disability Services (KDADS) for a 40-month period from January 1, 2018 through April 30, 2021. The number and the types of findings identified during the audit indicate control weaknesses, which could put Kansas waivers at risk.

Additionally, the audit found that 2,854 individuals identified as being registered for an HCBS waiver, but who had not filed HCBS claims on their behalf for a total of 12 months or more during the audit period . The amount of payments made to contracted managed care organizations to provide services to these beneficiaries totals more than $193 million.

The Office of the Medicaid Inspector General (OMIG) is required by KSA 75-7427(k)(1) to make arrangements to solicit and receive reports of fraud, waste, abuse, and illegal acts in such programs from any person or persons who possess such information.

The report was submitted to Kansas Attorney General Derek Schmidt, Secretary of Health and Environment Janet Stanek, KDHE Medicaid Director Sarah Fertig, Kansas Department Secretary for Aging and Disability Laura Howard and members of the Robert G. (Bob) Bethell Joint Committee on Home and Community Services and KanCare Oversight.

The report is available at https://ag.ks.gov/medicaid-ig.

To report suspected fraud, waste, abuse, or illegal acts involving Medicaid, MediKan, or the National Children’s Health Insurance Program, citizens can use the online form at https://ag.ks.gov/medicaid-ig or call 785-296-8637.

Ryan H. Bowman