Audit: NC Medicaid Savings Could Be At Risk

An audit says state health officials' failure to get federal certification for a new Medicaid payment system could put at least some of the planned savings of $10 million a year at risk.

The system is called NCTracks and is supposed to save the state almost $10 million annually because the federal government will pick up a larger share of the operating costs once the program is certified.

The program started July 1, 2013, and the state Department of Health and Human Services said it would be certified by July 1, 2014. Now DHHS has pushed that certification date to October.

DHHS Secretary Aldona Wos says the state will receive reimbursement back to July 2013 once the system is certified. State auditors say, however, that such retroactive reimbursement isn't guaranteed.

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