Reports

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Gateway Health Plan, Inc., (Contract H5932) Submitted to CMS

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Blue Cross and Blue Shield of Alabama (Contract H0104) Submitted to CMS

  

• Psychosocial Characteristics and Their Association With Kidney Transplant Programs Waitlist Rates

  

• Emergency Department Procedure Codes Used on Medicare Claims for Services Billed With Nonemergency Department Sites of Service Resulted in Over $15 Million in Improper and Potentially Improper Payments

  

• Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children

  

• Centers for Disease Control and Prevention Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertions

  

• Food and Drug Administration Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertions

  

• National Institutes of Health Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertions

  

• Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care

  

• Sarasota Memorial Hospital Received At Least $12.1 Million in Medicare Overpayments

  

• 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