State Survey Analysis Report

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Regulated vs. Unregulated Providers

10. (b) Of all improper payments, what proportion would you estimate results from regulated providers versus from unregulated providers? What proportion of funds is provided to regulated providers versus unregulated providers?

Exhibit 10(b-1) illustrates the State’s estimates of the proportion of improper payments resulting from regulated versus unregulated providers. Of those State agencies that collect these data, 13 State agencies estimate that a larger proportion of improper payments results from regulated versus unregulated providers (AZ, DC, GA, KS, MA, MO, MS, MT, NE, OH, OK, UT, WI). One State (MD) reports a 50/50 split as the proportion of improper payments resulting from regulated and unregulated providers. Only three State agencies estimate that a larger proportion of improper payments result from unregulated providers versus regulated providers (CT, KY, PR). Eight State agencies either do not collect these data or did not answer this question (AL, CA(DE), CA(DSS), MN, NC, NH,WA, WV).

*State did not collect data

Exhibit 10(b-2). Proportion of Funding to Regulated vs. Unregulated Providers >>