Reports

• Michigan Made Capitation Payments to Managed Care Entities After Beneficiaries Deaths

  

• Opportunities for Williamson and Burnet Counties Had Ineffective Accounting Controls and Used Unapproved or Questionable Cost Allocation Methods

  

• The Majority of Providers Reviewed Used Medicare Part D Eligibility Verification Transactions for Potentially Inappropriate Purposes

  

• The Indiana State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries Deaths

  

• New York Followed Its Approved Methodology for Claiming Enhanced Medicaid Reimbursement Under the Community First Choice Option

  

• FY 2021 Congressional Budget Justification

  

• New York Claimed Tens of Millions of Dollars for Opioid Treatment Program Services That Did Not Comply With Medicaid Requirements Intended To Ensure the Quality of Care Provided to Beneficiaries

  

• Missouri Medicaid Fraud Control Unit: 2018 Onsite Inspection

  

• More Than One-Third of New Jerseys Federal Medicaid Reimbursement for Providing Community-Based Treatment Services Was Unallowable

  

• Medicare Market Shares of Diabetes Test Strips From April Through June 2019

  

• The National Institutes of Health Submitted OIG Clearance Documents for Just Over One-Half of Its Audit Recommendations, and the Remaining 225 Recommendations Were Unresolved as of September 30, 2016

  

• CMS Implementation of a 2014 Policy Change Resulted in Improvements in the Reporting of Coverage Gap Discounts Under Medicare Part D

  

• Tennessees Monitoring Ensured Compliance With Criminal Background Check Requirements at 28 of the 30 Childcare Providers Reviewed

  

• Advisory Opinion 20-02

  

• Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

  

• CMS Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas

  

• New York Improperly Claimed Medicaid Reimbursement for Some Bridges to Health Waiver Program Services That Were Not in Accordance With an Approved Plan of Care and Did Not Meet Documentation Requirements

  

• Advisory Opinion 20-01

  

• CMS Made an Estimated $93.6 Million in Incorrect Medicare Electronic Health Record Incentive Payments to Acute-Care Hospitals, or Less Than 1 Percent of $10.8 Billion in Total Incentive Payments

  

• Medicare Home Health Agency Provider Compliance Audit: Palos Community Hospital Home Health Agency