Reports

• Texas Did Not Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at All 20 Adult Day Activity Health and Service Facilities Audited

  

• Medicare and Medicaid Payments to Providers Are at Risk of Diversion Through Electronic Funds Transfer Fraud Schemes

  

• North Carolina’s Medicaid Control Environment, Risk Management Practices, and Governing Processes Were Assessed as Moderate Risk

  

• Florida Generally Used CDC Public Health Crisis Response Cooperative Agreement Program Funds in Accordance With Federal Requirements

  

• ACF Used Contractor Personnel To Perform Inherently Governmental Functions and Paid Millions in Potentially Unallowable Costs

  

• CDC Lacked Documentation for Its Redirections of PEPFAR Funds to Support the COVID-19 Response

  

• Office of Inspector General’s Partnership With the Commonwealth of Massachusetts, Office of the State Auditor: Office of Medicaid (MassHealth) – Review of Capitation Payments With Multiple Identification Numbers

  

• Medicare Contractors Did Not Use Complete and Timely Utilization Data When Making Part B Coverage Determinations for Stelara

  

• Medicare Part D Spending for 10 Selected Diabetes Drugs Totaled $35.8 Billion in 2023, an Increase of 364 Percent From 2019

  

• Office of Inspector General’s Partnership With the Office of the Washington State Auditor: State Auditor’s Report Examining Washington’s Concurrent Medicaid Enrollments

  

• Massachusetts Generally Claimed Safety Net Care Pool Costs That Complied With Federal Requirements

  

• Medicare Paid Claims That Were Not in Accordance With the Over-the- Counter COVID-19 Test Kits Demonstration Quantity Limitation

  

• Mental Health Center of Florida Generally Met Medicare Billing Requirements for Some Psychotherapy Services

  

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2024

  

• Colorado Made Capitation Payments to Managed Care Organizations After Enrollees’ Deaths

  

• Not All Medicare Enrollees Are Continuing Treatment for Opioid Use Disorder

  

• Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters

  

• Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters

  

• West Virginia Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs

  

• Wisconsin Medicaid Fraud Control Unit: 2024 Inspection