A messy patchwork of state systems is causing massive improper Medicaid payment rates

By Emma Loop 


“We had to input the wrong information to get the right output. So everything you’re capturing is incorrect,” Gilkesson, who now works as a senior policy analyst at the Center for Law and Social Policy, told the Washington Examiner. “And that’s all the state could afford at the time.”

Then, there was what Gilkesson called the “black box,” a part of the computer system that accepted verification information from applicants, such as proof of income. “It was always known it may go through, it may not, it may be lost,” she said. “And if that happens, it’s as if you never submitted anything at all.”

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Source URL: https://www.washingtonexaminer.com/policy/healthcare/a-messy-patchwork-of-state-systems-is-causing-massive-improper-medicaid-payment-rates?emci=ea1daa40-9fb6-ec11-997e-281878b83d8a&emdi=4036c823-adb6-ec11-997e-281878b83d8a&ceid=2846927