Program Overview and Summary

The Department is regularly audited by external partners and the federal government.  The following agencies conduct regular audit activities on the Department’s operations, functions and eligibility determinations:

  • Office of State Auditor in the Single Statewide Audit (SSWA)
  • Office of Inspector General (OIG) in the U.S. Department of Health and Human Services
  • Audits by the Centers for Medicare and Medicaid Services (CMS), including quarterly reviews

The federal government, through the Centers for Medicare and Medicaid Services (CMS), also requires the below audits:

  • Medicaid Eligibility Quality Control (MEQC)
  • Payment Error Rate Measurement (PERM)

The resources listed below can be useful in understanding and accessing knowledge regarding the Department’s external audits.