Risk Assessment of Puerto Rico Medicaid Program
The Puerto Rico Medicaid program is a 100-percent managed care program that provides health services to more than 1 million beneficiaries. In December 2019, Congress provided Puerto Rico additional funding under the Further Consolidated Appropriations Act of 2020 (P.L. 116-94). P.L. 116-94 also contains anticorruption measures including requirements for OIG to develop and submit to Congress a report identifying payments made under Puerto Rico's Medicaid program to managed care organizations that are at high risk for waste, fraud, or abuse, and a plan for auditing such payments.
Announced or Revised | Agency | Title | Component | Report Number(s) | Expected Issue Date (FY) |
---|---|---|---|---|---|
Completed (partial) | Centers for Medicare and Medicaid Services | Risk Assessment of Puerto Rico Medicaid Program | Office of Audit Services | W-00-20-31544; W-00-21-31544; W-00-23-31544; W-00-24-31544; A-02-21-01004; A-02-21-01005 |
2024 |