Ohio auditor wants to curb Medicaid fraud with bonds


Pointing to millions of dollars in unpaid debts owed by Medicaid providers, state Auditor Dave Yost says Ohio should require surety bonds so the state can more easily recover fraudulent or over payments.

Former state auditor Betty Montgomery recommended a limited use of surety bonds — 12 years ago — in a 2006 top to bottom review of Ohio Medicaid.

Medicaid is a state and federally funded health care program that pays for half of the births in Ohio and the majority of nursing home care, reimburses 110,000 providers, covers 3-million Ohioans and consumes 39 percent of the state budget. The program has received $134 billion in state and federal money since 2011.

RELATED: Hundreds rally at Statehouse to support Kasich’s veto on Medicaid

Auditors look for red flags and then do examinations to determine whether the money is properly spent. Over the past seven years, auditors flagged $33.3 million in over payments to 121 providers and a follow-up analysis of 60 of those providers have paid back just $1.9 million of $19.7 million owed.

Yost’s team found instances of Medicaid transportation companies employing drivers without valid licenses, home health care aides without basic first aid training and other problems.

“For too long, dishonest providers have exploited vulnerabilities in the Medicaid program with little consequence,” Yost said.

Related: Should Medicaid come with work requirements? Ohio says yes

Yost is backing a bill sponsored by state Sen. Peggy Lehner, R-Kettering, to require surety bonds — insurance mandated for Medicaid providers in Indiana, Texas, New York and Florida. Yost said he’d like to see lawmakers adopt Senate Bill 218 by the end of the year.

Among the Medicaid provider examinations done in the Miami Valley since 2011, Yost found $4.57-million in fraudulent or improper payments made to 10 providers, including six independent nurses and two medical transportation companies. Healing Touch Healthcare LLC in Montgomery County was found to owe $3.7 million, according to Yost.

Debt collection is the responsibility of the Ohio Attorney General — an office Yost is running for against Democrat Steve Dettelbach.



Reader Comments ...


Next Up in News

Five undocumented immigrants dead after chase with Border Patrol, officials say
Five undocumented immigrants dead after chase with Border Patrol, officials say

Five undocumented immigrants died in a chase with Border Patrol agents Sunday afternoon after the driver of the SUV they were traveling in lost control and crashed, investigators said. There were 14 people in the Suburban, 12 were undocumented immigrants who were ejected when the vehicle crashed and rolled over, according to WOAI.  Four people...
Dead great white shark washes ashore on California beach
Dead great white shark washes ashore on California beach

A dead great white shark washed ashore Sunday morning on a California beach.  The adult male shark was found around 7 a.m. with multiple cuts on its face but nothing that appeared life-threatening, officials told KSBW.  The carcass was removed from the beach and a necropsy will be conducted to determine the cause of death.
Cardi B, Offset pose for risque Rolling Stone cover
Cardi B, Offset pose for risque Rolling Stone cover

In the year since “Bodak Yellow” arrived, Cardi B has escalated from projected one-hit wonder to ubiquitous charmer. Her frank talk and unapologetic attitude toward her past as a stripper have only bolstered her internet appeal; she’s landed everywhere from “Saturday Night Live” to Howard Stern’s SiriusXM radio show...
Small earthquake detected in Mexico City after national team beats Germany 
Small earthquake detected in Mexico City after national team beats Germany 

Fans cheering the national team’s win over Germany created an “artificial quake” that tipped the Richter scale, according to reports.  Seismologists at two monitoring stations in Mexico City picked up readings when Hirving Lozano scored 35 minutes into Mexico’s 1-0 upset over defending champion Germany Sunday...
Truck fatally hits two children at mud bogging event, officials say
Truck fatally hits two children at mud bogging event, officials say

Two children, 15 and 10 years old, were hit and killed at a mudding event in Middle Georgia when a driver lost control of his truck due to a mechanical failure, the Georgia State Patrol said. An 11-year-old was hit and injured in the incident Saturday night at the South Creek Mud Boggin’ in Milledgeville, according to the GSP. Shortly before...
More Stories