Audit of Oklahoma Medicaid School-Based Services Provided Free to Other Students and Not Exempt Under

' ' \~'''v'cts[ DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General %",,. Washington, D.C. 20201 Neil Donovan TO: Director, Audit Liaison Staff Centers for Medicare & Medicaid Services J. DuquettHY/& FROM: Dennis Deputy Inspector n a1 for Audit Services Audit of Oklahoma Medicaid School-Based Services Provided Free to Other SUBJECT: Students and Not Exempt Under the Individuals with Disabilities Education Act (A-06-0 1-00077) As part of the Office of Inspector General's self-initiated audit work, we are alerting you to the issuance within 5 business days of our final report entitled, "Audit of Oklahoma Medicaid School-Based Services Provided Free to Other Students and Not Exempt Under the Individuals with Disabilities Education Act." A copy of the report is attached. This report is one in a series of reports in our multi-state initiative focusing on direct costs claimed for Medicaid school-based health services. We suggest you share this report with the Centers for Medicare & Medicaid Services (CMS) components involved in program integrity, provider issues, and state agency oversight, particularly the Center for Medicaid and State Operations. The objective of our review was to determine whether school districts in Oklahoma billed Medicaid for school-based health services that were (1) provided free to other students, and (2) not exempt under the Individuals with Disabilities Education Act (IDEA). We found Oklahoma lacks procedures ...