Twenty-seven states conducted no quality control tests to ensure the truth of Medicaid applicants' self-declared citizen status, and of the states that did, nine reviewed a nonrepresentative sample of the Medicaid population, HHS' inspector general's office said in a report. Four states -- Montana, New Hampshire, New York and Texas --always required applicants to produce evidence of citizenship. Of the states allowing self-declared status, 44 required evidence if a "prudent person" would question the applicant's report. Federal law allows self-declaration to expedite the Medicaid applicaton process. The report said the CMS should strengthen post-eligibility quality controls. Read the report. -- by Tony Fong
Medicaid applicants' citizen status poorly reviewed: HHS
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