Pennsylvania Needs an Automated System To Detect Medicaid Fraud and Abuse

A GAO review of Pennsylvania's efforts to control Medicaid fraud and abuse surveyed the planned Medicaid Management Information System (MMIS); the Pennsylvania Department of Public Welfare's administration of the State Medicaid Program; Pennsylvania's Medical Assistance Management Information System; the State's Medicaid claims process and utilization review operation; and the Pennsylvania Department of Justice's Medicaid Fraud Control Unit (MFCU).