Reports

• HHS Has Not Made Additional Progress Toward Compliance With the Geospatial Data Act

  

• Arkansas Failed to Comply With the Immediate Screening, Risk and Safety Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect

  

• South Carolina Did Not Report Approximately $108.6 Million of the Federal Share of Medicaid and CHIP Collections Subject to the Increased COVID-19 Federal Medical Assistance Percentage

  

• Wisconsin May Have Improperly Claimed $455 Million in Medicaid Reimbursement for Its School-Based Program

  

• Medicare Advantage Organizations and Prescription Drug Plans Paid $72 Million During a 3-Year Period for Services Associated With Excluded Providers or Individuals Convicted of Certain Felonies

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UnitedHealthcare Benefits of Texas, Inc. (Contract H0609), Submitted to CMS

  

• Georgia Medicaid Fraud Control Unit: 2024 Onsite Inspection

  

• Many Independent Organ Procurement Organizations Did Not Meet Medicare Requirements for Reporting Kidney Transportation Costs and Some Did Not Transport Organs in Accordance With Medicare Requirements

  

• In 2024, ORR’s National Call Center Connected Children with Supports and Services

  

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

  

• Medicaid Managed Care: CMSs Accuracy Check Process For State-Submitted Medical Loss Ratio Data Has Limitations

  

• Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2024 Average Sales Prices

  

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

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H5216) Submitted to CMS

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UnitedHealthcare of Wisconsin, Inc. (Contract H5253) Submitted to CMS

  

• The IHS Navajo Area Office’s Internal Controls for Awarding, Monitoring, and Reporting Sanitation Facilities Construction Projects Could Be Improved

  

• Medicare Advantage Organizations and CMS Can Do More To Prevent Durable Medical Equipment Fraud in Medicare Advantage

  

• Alabama Medicaid Fraud Control Unit: 2025 Inspection

  

• OIG Final Data Brief: Snapshot of Indian Health Service Sanitation Facilities Construction Projects Funded Under the Infrastructure Investment and Jobs Act

  

• California Did Not Report and Return All Medicaid Overpayments for the State’s Medicaid Fraud Control Unit Cases