Reports

• The Reduced Outlier Threshold Applied to Transfer Claims Did Not Significantly Increase Medicare Payments to Hospitals

  

• Advisory Opinion 22-15

  

• The Centers for Medicare & Medicaid Services Had Policies and Procedures in Place To Mitigate Vulnerabilities in a Timely Manner, but Improvements Are Needed

  

• Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2022

  

• Advisory Opinion 22-14

  

• More Than 90 Percent of the New Hampshire Managed Care Organization and Fee-for-Service Claims for Opioid Treatment Program Services Did Not Comply With Medicaid Requirements

  

• An Estimated 91 Percent of Nursing Home Staff Nationwide Received the Required COVID-19 Vaccine Doses, and an Estimated 56 Percent of Staff Nationwide Received a Booster Dose

  

• Office of Refugee Resettlement Influx Care Facility and Emergency Intake Sites Did Not Adequately Safeguard Unaccompanied Children From COVID-19

  

• Advisory Opinion 22-13

  

• Inaccuracies in Medicare Race and Ethnicity Data Hinder the Ability To Assess Health Disparities

  

• Maine Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents

  

• Medicare and Beneficiaries Paid Substantially More to Provider-Based Facilities in Eight Selected States in Calendar Years 2010 Through 2017 Than They Paid to Freestanding Facilities in the Same States for the Same Type of Services

  

• Spring 2022 Semiannual Report to Congress

  

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Peoples Health Network (Contract H1961) Submitted to CMS

  

• Vanderbilt University Medical Center: Audit of Outpatient Outlier Payments

  

• Medicare Improperly Paid Durable Medical Equipment Suppliers an Estimated $8 Million of the $40 Million Paid for Power Mobility Device Repairs

  

• Advisory Opinion 22-12

  

• Advisory Opinion 22-11

  

• National Snapshot of State Agency Approaches To Reporting and Locating Children Missing From Foster Care

  

• Washington State Did Not Comply With Federal and State Requirements for Claiming Enhanced Federal Reimbursement for Medicaid Managed-Care Health Home Service Expenditures