HARRISBURG, Pa. (WTAJ) – A state audit revealed that the Department of Human Services (DHS) overpaid for a UPMC healthcare program, resulting in thousands of taxpayer dollars being lost.
The auditor general’s office released the findings of a performance review of UPMC’s Community HealthChoice contract, finding several failures along the way. According to the auditor general’s office, Community HealthChoice is a health insurance program for Pennsylvanians 21 or older who get long-term support from Medicaid and Medicare or who “receive long-term supports through Medicaid because they need help with everyday personal tasks.”
UPMC and the DHS have a contract for the state to provide funding for the program. However, the audit revealed that UPMC did not accurately update “participant information,” which skewed the numbers for how much money the DHS was supposed to give.
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“This is important because DHS uses data from these assessments as a key component in determining how much UPMC gets paid to cover the care provided,” Deputy Auditor General for Audits Gordon Denlinger said…