Audit: Medicaid's NCTracks fails to meet milestones - KCTV5

Audit: Medicaid's NCTracks fails to meet milestones

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RALEIGH, N.C. -

The Department of Health and Human Services said Thursday that North Carolina’s Medicaid payment system, NCTracks, needs to address some issues before it can be certified by the federal government, according to a an audit by the State Auditor’s office.

The audit found:

  • The NCTracks certification process did not achieve the milestones provided by the General Assembly in January.
  • NCTracks was not certified by July 1, as planned.
  • The certification schedule was not changed to reflect an October target date
  • NCTracks was not ready for DHHS to request certification from the federal government, “which delays the state from achieving operational cost savings sooner.”
  • Some risks still exist that could delay federal certification

The audit recommends an updated project schedule, a follow-up plan with the General Assembly and a plan for how DHHS will hold the vendor, Computer Sciences Corp., accountable if CSC “fails to meet contract terms regarding certification.”

NCTracks launched in July 2013, promising to get rid of paper, reduce fraud and get Medicaid providers paid faster.

But a year later, some providers were still reporting major problems that led to increased paperwork and patients taking longer to get care.

In June, Joe Cooper, chief information officer for the Department of Health and Human Services, said that for the majority of providers, the system is working fine after a botched launch in 2013.

"The system is working well. It's paying very well," Cooper said at the time, noting Medicaid has more than 97,000 providers. "We expect a few providers to have an issue, and when we get aware of it, we're able to address it pretty quickly."

Copyright 2014 WNCN. All rights reserved.

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