Reports

• New York Did Not Ensure That Selected Medicaid Managed Care Organizations Complied With Mental Health and Substance Use Disorder Parity Requirements Related to Prior Authorization

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2026

  

• Kansas Did Not Ensure That Its Medicaid Managed Care Organizations Complied With Mental Health and Substance Use Disorder Parity Requirements Related to Prior Authorization

  

• Medicare Home Health Agency Provider Compliance Audit: Deistic Home Health Care, Inc.

  

• Medicare Improperly Paid Physicians an Estimated $15.2 Million for Sacroiliac Joint Injections

  

• Department of Health and Human Services Met Many Requirements, but It Did Not Fully Comply With the Payment Integrity Information Act of 2019 for Fiscal Year 2025

  

• Hospice of the Valley - West Received at Least $8.6 Million in Medicare Overpayments

  

• National Overview of State-Level Challenges and Efforts To Minimize or Eliminate Temporary Emergency Placements in Foster Care

  

• Connecticut Generally Claimed Medicaid Reimbursement for Clinical Diagnostic Laboratory Services in Accordance With Federal and State Requirements

  

• Georgia Claimed at Least $26.1 Million More in Medicaid Reimbursements for Clinical Diagnostic Laboratory Services Than Was Allowed by Federal and State Requirements

  

• Wisconsin Physicians Service Insurance Corporation Made Incorrect Medicare Payments to Providers for Outpatient Services

  

• Colorado Could Improve Its Electronic Visit Verification System and Claimed Federal Medicaid Reimbursement for Millions of Dollars in Personal Care Services That Did Not Comply With Federal and State Requirements

  

• States Have Missed Some Opportunities to Improve Medicaid Managed Care Organizations’ Provider Fraud Referrals

  

• Novitas Solutions, Inc., Improperly Paid Approximately $19.5 Million for Selected Medicare Part B Services Provided to Patients Residing in Nursing Homes

  

• The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2025 in Accordance With Federal Requirements

  

• New York Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements

  

• Part D Plans Generally Include Drugs Commonly Used by Dual-Eligible Enrollees: 2026

  

• Florida Medicaid Fraud Control Unit: 2025 Inspection

  

• Medicare Could Have Saved $255.1 Million Related to Hospice Services for Certain New Hospice Enrollees

  

• North Dakota Could Better Ensure That Providers Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 44 Residential Settings