Columbus – A Stark County provider of behavioral health services billed the state almost $840,000 for services that were ineligible for payment from the Ohio Department of Medicaid (ODM), state auditors found. 

An examination of Medicaid claims submitted by CommQuest Services found a number of problems with the company’s service records, which should have disqualified it from earning $839,903 of the $12 million it received from 2013 through 2015. With interest, the company owes $910,621 to ODM.

The Auditor of State’s office reported 316 errors in a sample of 385 intensive outpatient services, including 30 services that had no service documentation and 44 that lacked required treatment plans. In six other cases, treatment plans were not signed by a qualified person. 

Auditors also inspected 423 drug screening services and identified 47 errors, including 13 unsupported services and 26 services lacking evidence that a physician ordered the drug screenings. 

CommQuest management declined to sign a routine letter acknowledging the company’s responsibility for maintaining records and complying with the state’s Medicaid regulations. 

A full copy of this report is available online.

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The Auditor of State’s office, one of five independently elected statewide offices in Ohio, is responsible for auditing more than 5,900 state and local government agencies.  Under the direction of Auditor Dave Yost, the office also provides financial services to local governments, investigates and prevents fraud in public agencies and promotes transparency in government.

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Beth Gianforcaro
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