Reports

• Office of Inspector General’s Partnership With the Office of the Utah Inspector General: Inspector General’s Report Audit of Capitation Payments Made Concurrently With Another State

  

• Fourteen of Thirty Selected Indian Health Service and Rural Providers Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments

  

• Medicare Home Health Agency Provider Compliance Audit: Alternate Solutions Homecare of Dayton

  

• New York Should Improve Its Monitoring of Low-Income Home Energy Assistance Program Subrecipients

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2025

  

• Missouri Did Not Obtain Millions of Dollars in Rebates for Medicaid Physician-Administered and Pharmacy Drugs

  

• ACF’s $529 Million Sole Source Contract Award for Unaccompanied Alien Children Services Was Based on an Unsolicited Proposal, Double the Cost Estimate, and Noncompliant With Pre-Award Requirements

  

• West Virginia Did Not Obtain Rebates Associated With Millions of Dollars in Medicaid Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• Philadelphia Did Not Meet All of the Requirements for the COVID-19 Screening Testing Program at K-12 Schools

  

• ACF Can Improve Services to Homeless Youth by Strengthening Grant Recipients’ Compliance With Transitional Living Program Requirements

  

• A Large Southeastern Hospital Could Improve Certain Security Controls to Enhance Its Ability to Prevent and Detect Cyberattacks

  

• Total Medicare Part B Spending on Lab Tests Rose in 2024, Driven by Increased Spending on Genetic Tests

  

• Audit of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2024

  

• Maine Made at Least $45.6 Million in Improper Fee-for-Service Medicaid Payments for Rehabilitative and Community Support Services Provided to Children Diagnosed With Autism

  

• Essence Healthcare, Inc., Did Not Comply With Federal Requirement for Reporting Direct and Indirect Remunerations for Contract Years 2017 Through 2020

  

• The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2024 in Accordance With Federal Requirements

  

• Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes Humana Health Benefit of Louisiana (Contract H1951) Submitted to CMS

  

• Illinois Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees

  

• Nine of Thirty Selected Assisted Living Facilities Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments