PennsylvaniaPennsylvania would audit Medicaid programs where participants direct their care
A legislative committee would review eligibility checks and fraud prevention in Pennsylvania Medicaid programs where participants direct their care.
What it does
A legislative committee would audit Pennsylvania Medicaid programs where participants direct their care. It would report to state lawmakers within 18 months after the resolution is adopted.
Argument forReviewing eligibility checks could help officials find gaps in fraud prevention and protect Medicaid resources for people who qualify for care.
Argument againstGathering records for the audit could take state agency staff away from their other work.
More detail
The Legislative Budget and Finance Committee would audit participant-directed Medicaid programs. The review would cover Pennsylvania Medicaid programs where participants direct their care. The committee could request needed information from state agencies. The report would assess checks on who qualifies for benefits and provider payments, compare fraud prevention with other states, and include findings and recommendations for further studies or audits. The report would be due no later than 18 months after adoption.
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Where it stands
- Introduced
- Adopted
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Oct 13Referred to Health & Human ServicesIntroduced
HealthcareGovernment & Ethics