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Becker's Healthcare October 9, 2025
West Virginia may have paid managed care organizations up to $32.4 million for ineligible Medicaid participants, according to an October audit report.
The audit examined payments from 2019 to 2020 and was inspired by Louisiana audits involving Aetna. MCOs get a monthly capitation payment based on each member. West Virginia’s Bureau for Medical Services is supposed to alert MCOs when...
