Louisiana Received More Than $7.1 Million in Unallowable Bonus Payments

Under the Children's Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in Medicaid. We found that the bonus payments that Louisiana received for the audit period were not allowable in accordance with Federal requirements. Most of the data used in Louisiana's bonus payment calculations was in accordance with Federal requirements. However, the State agency overstated its FYs 2009 through 2011 current enrollment in its bonus requests to CMS because it included individuals who did not qualify because of their basis-of-eligibility code. As a result, CMS overpaid Louisiana $7.1 million in bonus payments. We recommended that the State agency refund $7.1 million to the Federal Government and ensure that future requests for CHIPRA bonus payments include only qualifying children to comply with Federal requirements.