Cambridge Central School District - Medicaid Reimbursements (2019M-109)

Issued Date
August 23, 2019

[read complete report - pdf]

Audit Objective

Determine whether the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible students.

Key Findings

  • The District lacked adequate procedures to ensure Medicaid claims were submitted and reimbursed for all eligible services provided.
  • Claims were not submitted and rejected claims were not resubmitted for 1,280 eligible services totaling $25,004. Had these services been appropriately claimed, the District could have realized revenues totaling $12,502.

Key Recommendations

  • Establish procedures to ensure all documentation requirements are met to submit Medicaid claims for reimbursement for all eligible services provided.
  • Review all unclaimed services, determine whether these services are reimbursable and submit any eligible claims for reimbursement.

District officials generally agreed with our recommendations and indicated they planned to initiate corrective action.