Reports

• State Agencies Could Be Obtaining Hundreds of Millions in Additional Medicaid Rebates Associated With Physician-Administered Drugs

  

• Potential Vulnerabilities in CMS Oversight of Medicare Add-on Payments for COVID-19 Tests Show That Oversight of Incentive Payments Could Be Improved

  

• New Mexico Should Refund Almost $120 Million to the Federal Government for Medicaid Nursing Facility Level-of-Care Managed Care Capitated Payments

  

• Office of Inspector General’s Partnership With the State of Rhode Island, Office of the Auditor General: Medicaid Capitation Paid for Members Residing in Other States

  

• Medicaid Enrollees May Not Be Screened for Intimate Partner Violence Because of Challenges Reported by Primary Care Clinicians

  

• The Office of Intergovernmental and External Affairs’ Purchase Card Program Did Not Comply With Federal and HHS Requirements

  

• Florida Ensured That Nursing Homes Complied with Federal Background Check Requirements

  

• West Virginia Lacked Effective Oversight of Its Opioid Response Grants

  

• Ohio Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements

  

• Alabama Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements

  

• New York Generally Identified and Corrected Duplicate Children’s Health Insurance Plan Payments Made to Managed Care Organizations

  

• Alabama MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed

  

• Missouri May Not Have Used All CARES Act Funds for the Older Americans Act Nutrition Services Program in Accordance With Federal and State Requirements

  

• CMS Could Improve Its Procedures for Setting Medicare Clinical Diagnostic Laboratory Test Rates Under the Clinical Laboratory Fee Schedule for Future Public Health Emergencies

  

• A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees’ Access to Care

  

• ACF Has Enhanced Some Cybersecurity Controls Over the Unaccompanied Children Portal and Data But Improvements Are Needed

  

• Concerns Remain About Safeguards To Protect Residents During Facility-Initiated Discharges From Nursing Homes

• Nursing Home Residents With Endangering Behaviors and Mental Health Disorders May Be Vulnerable to Facility-Initiated Discharges

  

• The Thailand Ministry of Public Health Managed PEPFAR Funds According to Federal Regulations but Internal Controls Could Be Improved

  

• Delaware Made Capitation Payments to Medicaid Managed Care Organizations After Enrollees’ Deaths