Oklahoma's Medicaid program has low error rate

Oklahoma was among 17 states included in a federal analysis of payment error rates of Medicaid programs. Oklahoma's rate was the lowest.
FROM STAFF REPORTS Modified: January 9, 2014 at 9:56 pm •  Published: January 10, 2014

Oklahoma's Medicaid program has the lowest payment error rate among 17 states included in a federal analysis, the agency announced Thursday.

SoonerCare, the state's Medicaid program, had a payment error rate during the 2012 fiscal year of 0.28 percent, which the Oklahoma Health Care Authority announced at its monthly meeting Thursday.

That's compared to the national average error rate of 5.8 percent. The highest payment error rate reported among the 17 states was 17.8 percent, although information wasn't available about which state that was.

“This is a true measure of our agency's continued fight against waste, fraud and abuse,” Nico Gomez, the Oklahoma Health Care Authority's CEO, said in a statement. “I am very proud of our staff that is committed to be responsible stewards of the taxpayers' dollars while ensuring quality health care is available to our SoonerCare members.”

Gomez said he also appreciated health care providers' compliance with the program.

The federal government's Payment Error Rate Measurement initiative is administered through Centers for Medicare and Medicaid Services and is a comprehensive review of Medicaid services that includes a review of member eligibility, medical necessity of the services rendered and appropriate processing of the claims paid.