GOVERNMENT OF THE DISTRICT OF COLUMBIAOffice of the Inspector General
Street, N.W., Washington, D.C. 20005 (202) 727-2540
February 16, 2012Wayne Turnage, M.P.A.DirectorD.C. Department of Health Care Finance899 North Capital Street, N.E., Suite 500Washington, D.C. 20001David A. Berns, M.P.A.DirectorDepartment of Human Services64 New York Avenue, N.E., 6
FloorWashington, D.C. 20002Dear Mr. Turnage and Mr. Berns:Enclosed is the final report summarizing the results of the Office of the InspectorGeneral’s (OIG)
Audit of Medicaid Claims at the Department of Health Care Finance
(OIG No. 09-2-29HF). The audit was included in the OIG’s Fiscal Year 2009 Audit andInspection Plan.As a result of our audit, we directed four recommendations to the Department of HealthCare Finance (DHCF) and one recommendation to the Department of Human Services,Income Maintenance Administration (DHS IMA) for action we consider necessary tocorrect identified deficiencies. The DHCF provided a written response to a draft of thisreport on November 30, 2011, and DHS IMA provided a written response to a draft of this report on November 4, 2011.We reviewed the responses and determined actions planned and taken meet the intent of our recommendations. In addition, auditors will provide files to DHCF to determinewhether a portion of claims identified during this audit and discussed in this report can berecouped. Also, we will provide DHS IMA a file of recipients with questionable SSNs todetermine legitimacy of eligibility. Accordingly, we request that DHS IMA provide us astatus report of recoupment and eligibility determinations within 60 days of the date of this report. The full text of the DHCF response is included at Exhibit B and DHS IMA’sresponse is at Exhibit C.