What’s Inside
Finding an improper payment is only half the control. The unresolved risk sits in what follows: the final determination, controlled handoff, recovery tracking, federal and state allocation, CMS-64 reporting, federal repayment, and retained evidence.
Using HHS-OIG’s September 2026 California audit as a national evidence case, this Insight maps the full control chain and identifies what Medicaid leaders should require to prove timely, accurate fiscal closure.
This was an HHS-OIG financial-stewardship audit—not a PERM review. The publication preserves that distinction while drawing out the audit-readiness lessons for state Medicaid programs.
Current through September 2026 | National Medicaid focus