Reports

• 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

  

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

  

• Kansas Medicaid Estate Recovery Program Was Cost Effective, but Kansas Did Not Always Follow Its Procedures, Which Could Have Resulted in Reduced Recoveries

  

• Pennsylvania Improperly Claimed $551 Million in Medicaid Funds for Its School-Based Program

  

• FY 2025 Congressional Budget Justification

  

• Data Snapshot: Biosimilar Cost and Use Trends in Medicare Part B

  

• Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes

  

• Advisory Opinion 24-01

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2023