
(The Center Square) – Deeper investigation into Medicaid and other areas of government spending are coming, the state auditor of North Carolina said Monday following release of a statewide single audit examining $28 billion in federal grants for the 2025 fiscal year.
Medicaid accounted for more than half of $43.9 billion in expenditures of federal awards for the year ended last June 30. Nineteen findings were in the report from first-term Republican Dave Boliek and staff, with questioned costs totaling $342,093.
“The federal government administers a massive amount of funding,” Boliek said. “Look no further than the $24.7 billion flowing through Medicaid. This annual audit gives us a chance to examine at a high level how federal grants are used in North Carolina and where there may be questionable expenditures.
“It’s our duty at the state level to make sure any funds directed to North Carolina are used properly and responsibly. While the single audit provides a high-level financial overview, the work done by...

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