A delay in its bidding process has left the state's Office of Medicaid Inspector General without private investigators who do the foot work rooting out fraud and abuse. Without them, the state is failing to recover tens of millions of dollars. The investigators are usually retired detectives. Also, the office has weakened its in-house enforcement, leaving many cases without a primary investigator or supervisor assigned. Meanwhile, the federal government is asking the state to return a $27.4 million reimbursement to Washington. An audit found an "extremely high" incidence of billing errors for services for Medicaid recipients who were in a state rehabilitation program.
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