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Reports

  • Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2022 Average Sales Prices
  • Novitas Solutions, Inc., Reopened and Corrected Cost Report Final Settlements With Obvious Errors To Collect Overpayments Made to Medicare Providers
  • New Mexico Did Not Ensure Attendants Were Qualified To Provide Personal Care Services, Putting Medicaid Enrollees at Risk
  • Massachusetts Opioid Treatment Program Services Met Many of the Federal and State Requirements 
  • South Carolina Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
  • Utah Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements
  • Kansas’s Implemented Electronic Visit Verification System Could Be Improved
  • Certain For-Profit Nursing Homes May Not Have Complied With Federal Requirements Regarding the Infection Preventionist Position
  • Illinois MMIS and E&E System Had Adequate Security Controls in Place, but Some Improvements Are Needed
  • Massachusetts Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements
  • Medicare Advantage Compliance Audit of Diagnosis Codes That MMM Healthcare, LLC, (Contract H4003) Submitted to CMS
  • Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2024
  • Office of Inspector General’s Partnership With the Ohio Auditor of State: Auditor of State’s Report Ohio Department of Medicaid: The Cost of Concurrent Enrollment
  • Medicare Improperly Paid Hospitals an Estimated $79 Million for Enrollees Who Had Received Mechanical Ventilation
  • Medicare and Some Enrollees Paid Substantially More When Stelara Was Covered Under Part D Versus Part B
  • Opioid Treatment Programs in Washington State Did Not Fully Comply With Federal and State Requirements, Which May Have Put Medicaid Enrollees at Risk for Poor Treatment Outcomes
  • CDC Provided Oversight and Assistance, but Recipients Faced Challenges in Implementing a COVID-19 Vaccine Confidence Strategy
  • The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2023 in Accordance With Federal Requirements
  • Alaska Medicaid Fraud Control Unit: 2023 Inspection
  • West Virginia Medicaid Fraud Control Unit: 2023 Inspection
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