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Reports

  • HHSs Oversight of Automatic Provider Relief Fund Payments Was Generally Effective but Improvements Could Be Made
  • South Dakota MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed
  • States Face Ongoing Challenges in Meeting Third-Party Liability Requirements for Ensuring That Medicaid Functions as the Payer of Last Resort
  • CDCs Internal Control Weaknesses Led to Its Initial COVID-19 Test Kit Failure, but CDC Ultimately Created a Working Test Kit
  • Medicare Advantage Compliance Audit of Diagnosis Codes That CarePlus Health Plans, Inc. (Contract H1019) Submitted to CMS
  • New York City Department of Health and Mental Hygiene Charged Some Unallowable Costs to Its CDC COVID-19 Award
  • Medicare Could Save Millions if It Implements an Expanded Hospital Transfer Payment Policy for Discharges to Postacute Care
  • The Strategic National Stockpile Was Not Positioned To Respond Effectively to the COVID-19 Pandemic
  • Illinois State Universitys Management of NIH Awards Complied With Federal and Financial Conflict of Interest Requirements
  • District of Columbia Medicaid Fraud Control Unit: 2022 Onsite Review
  • Many Medicaid Enrollees with Opioid Use Disorder Were Treated with Medication; However, Disparities Present Concerns
  • Biosimilars Have Lowered Costs for Medicare Part B and Enrollees, but Opportunities for Substantial Spending Reductions Still Exist
  • New Jersey Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Aetna, Inc. (Contract H5521) Submitted to CMS
  • Texas Made Capitation Payments for Enrollees Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Another State
  • CDC Provided Oversight and Assistance; However, ELC Recipients Still Faced Challenges in Implementing COVID-19 Screening Testing Programs
  • Four States Reviewed Received Increased Medicaid COVID-19 Funding Even Though They Terminated Some Enrollees Coverage for Unallowable or Potentially Unallowable Reasons
  • Medicare Advantage Compliance Audit of Diagnosis Codes That Health Net of California, Inc. (Contract H0562) Submitted to CMS
  • Alabama Did Not Always Invoice Rebates to Manufacturers for Pharmacy and Physician-Administered Drugs
  • Supplemental Data on Tobacco Retailer Inspections
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