The IG is auditing all state-run exchanges’ eligibility verification practices and program expenses. But the IG only examined eligibility procedures in Colorado, rather than listing examples of waste, fraud or abuse.
The Colorado exchange’s problems could be worse than the IG knows.
“Because our review was designed to provide only reasonable assurance that the internal controls we reviewed were effective, it would not necessarily have detected all internal control deficiencies,” the IG said.
The IG only reviewed 45 applicants, selected at random, to produce the report.
The IG told the Colorado marketplace to clean up its eligibility process and eliminate ineligible applicants better. Connect for Health Colorado General Counsel Alan Schmitz agreed with the IG’s findings in a Sept. 15 letter, and said the co-op is working on all those recommendations. That was before Colorado Health-Op closed its doors.
Connect for Health Colorado could not be reached for comment Wednesday.
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