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Reports

  • New York Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries
  • Texas Did Not Always Calculate Physician Supplemental Payments Made to the Texas Tech University Health Institutions in Accordance With Federal and State Requirements
  • Nebraska Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • Texas Did Not Bill Manufacturers for Some Rebates for Pharmacy Drugs of Medicaid Managed-Care Organizations
  • Advisory Opinion 17-09
  • The Administration for Children and Families Region X Did Not Always Resolve Head Start Grantees Single Audit Findings in Accordance With Federal Requirements
  • Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs
  • Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates
  • The State of North Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Eligibility Determination Systems and Data
  • Advisory Opinion 17-07
  • Not All of Missouris Child Care Subsidy Program Payments Complied With Federal and State Requirements
  • Texas Managed Care Organizations Received Medicaid Capitation Payments After Beneficiarys Death
  • CMS Did Not Adequately Address Discrepancies in the Coding Classification for Kwashiorkor
  • New Jersey Claimed Hundreds of Millions in Unallowable or Unsupported Medicaid School-Based Reimbursement
  • Excluding Noncovered Versions When Setting Payment for Two Part B Drugs Would Have Resulted in Lower Drug Costs for Medicare and its Beneficiaries
  • CMS Generally Met Requirements in Round 2 of the DMEPOS Competitive Bidding Program
  • Advisory Opinion 17-06
  • Medicare Compliance Review of Rush University Medical Center
  • U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, but Key Areas Require Improvement
  • Top Management & Performance Challenges Facing HHS
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