Audit of Capitation Payments Made Concurrently with Another State, Report 2023-03. An Executive Summary is included at the inception of this report. The objectives and scope of the audit are explained on page 10 of this report.

The Utah Office of the Inspector General of Medicaid Services (UOIG) presents the SFY2025 Annual Report to Governor Cox, the State Legislature, and the citizens of Utah. The UOIG’s goal is to eliminate fraud, abuse, and waste in the Medicaid system, thereby protecting taxpayer dollars. The UOIG conducts audits and […]

The Utah Office of Inspector General (UOIG) has received complaints about inappropriate provider billing practices related to Balance Billing and Factoring, in direct violation of Medicaid policies and regulations.