Under the Dome

State audit faults testing of new Medicaid billing system

The state Department of Health and Human Services' testing program for the new Medicaid billing system was seriously flawed, a report from State Auditor Beth Wood's office said.

The state is preparing to launch a new, expensive, and long-delayed Medicaid billing software on July 1. DHHS did not have adequate tests and evaluations in place to make sure the system, which DHHS calls NCTracks, is ready, the audit says.

In its response, DHHS agreed with the recommendations and is acting on them.

Even though DHHS was moving to plug holes in its preparations, the audit includes an ominous warning.

"The complexity of the NCTracks system makes it impossible to predict all of the scenarios that could impact the project, even after it is tested in accordance with industry best practices."

In other words, providers should expect things to go wrong.

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