Agency: Administrative Services

Line Item: Inspector General of Medicaid Services

Function

The functions of the inspector general relative to the state Medicaid program include a broad range of activities aimed at preventing fraud, waste, and abuse of state and federal Medicaid funds. This is accomplished by inspecting, monitoring, and auditing 1) the usage of federal and state Medicaid funds 2) agencies and programs for compliance with state and federal requirements, and 3) recordkeeping procedures and record maintenance. In addition, the inspector general is to seek and track the recovery of improperly paid Medicaid funds.

Background

House Bill 84, 2011 General Session, created the Office of Inspector General of Medicaid Services within the Governor's Office of Planning and Budget. The bill carried its own appropriation to transfer $2,632,500 ($994,900 General Fund) from the Department of Health to finance the new office's operations. FY 2012 is the first fiscal year of operations for the OIG-Medicaid. House Bill 106, 2013 General Session, moved the Office of Inspector General of Medicaid Services into the Department of Administrative Services as an independent entity within the department. The budget of the office was also moved as provided in the funding detail.

The governor appoints the inspector general with the advice and consent of the Senate for a term of two years.

The appointed inspector general must be a certified public accountant or a certified internal auditor; and have a background in auditing methodology and overall management.

Note that the Governor's Office of Management and Budget is currently revamping the performance measures for programs within the Department of Administrative Services beginning FY 2013 forward.

Statutory Authority

The statutory authority for the office is located in UCA 63A-13, "Office of Inspector General of Medicaid Services."

Funding Detail

For more detail about a particular source of finance or organizational unit, click a linked entry in the left column of the table(s) below.