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A report released Tuesday by the legislature's internal oversight agency recommends changes in how the state's Medicaid program goes after fraud and waste. The report noted that North Carolina is spending millions of dollars on claim reviews that are not fraudulent, and attorneys aren't able to follow up on many that are. In the 2013-14 fiscal year, for example, the state paid contractors $3.7 million to hunt out fraudulent claims, but the state was able to recover less than $500,000. (Leslie, 11/15)

Delaware’s Department of Health and Social Services is asking state budget officials for $42 million in additional funding to pay for Medicaid and other programs. The $1.22 billion budget request presented Tuesday represents an increase of 3.6 percent over the current year’s budget. It includes $13.3 million for Medicaid, which currently covers some 220,000 people, more than one-fifth of Delaware’s population. (Chase, 11/15)