State Policy · CO
Colorado Medicaid Owes $8 Million in Federal Funds for HCBS Claims
An Office of Inspector General audit found Colorado Medicaid improperly claimed at least $8 million in federal funds for in-home disability care services. The OIG identified an additional $45 million in federal payments requiring further review. State officials acknowledged billing errors but stated no fraud occurred. The audit examined home and community-based services claims, a program area where improper billing has drawn increased federal scrutiny. Colorado must repay the federal share of identified improper payments.
Why it mattersThis audit signals heightened OIG scrutiny of HCBS billing practices that Medicaid MCOs managing LTSS must address to avoid federal recoupment demands.