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NYS Comptroller


Audits of Local Governments and School Districts

Report Highlights

Cambridge Central School District - Medicaid Reimbursements (2019M-109)

Released: August 23, 2019 -- [read complete report - pdf]

Audit Objective

Determine whether the District claimed all Medicaid reimbursements to which it was entitled for services provided to eligible students.

Key Findings

  • The District lacked adequate procedures to ensure Medicaid claims were submitted and reimbursed for all eligible services provided.
  • Claims were not submitted and rejected claims were not resubmitted for 1,280 eligible services totaling $25,004. Had these services been appropriately claimed, the District could have realized revenues totaling $12,502.

Key Recommendations

  • Establish procedures to ensure all documentation requirements are met to submit Medicaid claims for reimbursement for all eligible services provided.
  • Review all unclaimed services, determine whether these services are reimbursable and submit any eligible claims for reimbursement.

District officials generally agreed with our recommendations and indicated they planned to initiate corrective action.


The Cambridge Central School District (District) serves the residents in the Towns of Cambridge, Easton, Jackson, Salem and White Creek in Washington County and the Towns of Hoosick, Pittstown and Schaghticoke in Rensselaer County.

The five-member elected Board of Education is responsible for the general management and control of the District’s financial and educational affairs. The Superintendent of Schools is the chief executive officer and, along with other administrative staff, is responsible for day-to-day management under the Board’s direction.

The Committee on Special Education (CSE) oversees the District’s Special Education Program. The Medicaid Compliance Officer assists the CSE and oversees the Medicaid billing process.

Quick Facts
2018-19 Adopted Appropriations$21.6 million
Medicaid Reimbursements For 2017-18 Services$18,950

Audit Period

July 1, 2017 – February 28, 2019

Local Government and School Accountability Contact Information:

Phone: (518) 474-4037; Email:
Address: Office of the State Comptroller, Division of Local Government and School Accountability
110 State Street, 12th Floor; Albany, NY 12236