During the past decade, Vermont has spent $675 million setting up Medicaid managed-care programs, but state documents say it has done such a spotty job monitoring them that they can't even be audited.
State Auditor Doug Hoffer wrote to lawmakers last week about the problems highlighted in an internal report by the Agency of Human Resources in January.
The report found that several agency departments lacked crucial data on how managed-care programs set up under the Medicaid waiver were operating, and whether they were delivering the desired outcomes.
The commissioner of one of the departments criticized in the report — Susan Wehry of the Department of Disabilities, Aging and Independent Living — says it missed some areas where her department is doing well.
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