Maine DHHS Commissioner Was Copied on $45.6M Medicaid Audit Response — But Agency Says No Senior Leadership Briefing Record Exists
Maine DHHS Commissioner Sara Gagné-Holmes was copied on correspondence surrounding the state’s response to a $45.6 million Medicaid audit. But when The Maine Mirror specifically sought a final briefing memorandum, executive summary, or decision memorandum prepared for the Commissioner or senior leadership, DHHS said there were no responsive records.
CMS Put Maine DHHS on Notice After $45.6M Autism Medicaid Audit — Four Findings Required Corrective Action
Federal records show CMS identified four findings requiring corrective action after Maine’s $45.6 million autism Medicaid audit and gave Maine DHHS 30 days to respond. CMS also warned that an outstanding refund could lead to federal disallowance before Maine submitted its corrective-action plan in March.
Maine’s Autism-Service Program Began in 2010. Federal Auditors Say a Statewide Post-Payment Review Never Happened.
Federal auditors found Maine had not performed a statewide post-payment review of Medicaid-funded RCS services since the program began in 2010. Maine DHHS agreed with the finding and committed to reviewing 30 Section 28 providers per year, with all providers projected to undergo review by 2029.