Description

This report is on the State Office of Mental Retardation and Developmental Disabilities' (OMRDD) system for processing appeals of Medicaid rates for community-based programs, which does not adequately safeguard the expenditure of public funds or control costs. The system, which is intended to ensure that Medicaid rates are sufficient to cover the costs of efficiently-run facilities, granted appeal funding of $22 million in 1991, even though in many cases the money was not spent on the purpose for which it was claimed, or not spent at all. The Commission found that OMRDD failed to prevent the funding of excessive agency administrative costs, restrict spending to the purposes of the appeals, or recoup appeal monies that were not spent