Inspector General Uncovers ‘High-Risk Security Vulnerabilities’ in State Medicaid Systems

The Office of the Inspector General (OIG) for the Department of Health and Human Services (HHS) has uncovered 79 high risk vulnerabilities – specifically in information processing systems of at least ten state Medicaid agencies which “raise concerns about the integrity of the systems used to process Medicaid claims.” While ten states are not identified, the OIG said the investigation “suggests that other State Medicaid information systems may be similarly vulnerable.” However, the OIG results cannot be applied to all 50 states. The OIG has provided a table giving using a numerical grading scale reflecting a range from a low of 3 for one state, to a high of 17 for another. States are identified on this table as State A; State B, etc.

About 8.9 million low income Americans will fall within revised guidelines for Medicaid eligibility under the Affordable Care Act. “With the personal information of nearly 9 million more Americans running through State Medicaid systems, the increased strain on the system and workload of state personnel serve to increase the urgency of addressing those serious security shortcomings.”

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