The audit, reported in a document at the DCH board’s September Audit Committee meeting, recommended the agency “allocate necessary resources to implement a formal risk management program to allow management to gain reasonable assurance [that the Department of Community Health] will achieve its objectives in complying with operational, financial reporting and compliance requirements.” This includes strengthening IT and cybersecurity controls, and managing organizational risk.
A separate report from a Community Health official cited complaints to Georgia legislators “about large [payment] recoupments associated with clerical errors which put many providers in jeopardy of going out of business.”
According to a Community Health spokeswoman, the complaint applied to all healthcare providers in the Medicaid program.
The state Medicaid program covers more than 1.8 million members and Community Health’s base budget of $14.8 billion is primarily Medicaid expenditures.
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