Reports

• Ohio Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program

  

• The Centers for Medicare & Medicaid Services Could Improve Its Wage Index Adjustment for Hospitals in Areas With the Lowest Wages

  

• Medicare Home Health Agency Provider Compliance Audit: Tender Touch Health Care Services

  

• Medicare Hospice Provider Compliance Audit: Hospice Compassus, Inc., of Tullahoma, Tennessee

  

• Advisory Opinion 20-05

  

• CMS Should Pursue Strategies To Increase the Number of At Risk Beneficiaries Acquiring Naloxone Through Medicaid

  

• Oregon Oversight Did Not Ensure That Four Coordinated-Care Organizations Complied With Selected Medicaid Requirements Related to Access to Care and Quality of Care

  

• Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations

  

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

  

• Some Manufacturers Reported Inaccurate Drug Product Data to CMS

  

• Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on Health Risk Assessments Raise Concerns

  

• Audit of Medicare Part D Pharmacy Fees: Horizon Blue Cross Blue Shield, Inc.

  

• Colorado Claimed Unsupported and Incorrect Federal Medicaid Reimbursement for Beneficiaries Enrolled in the New Adult Group

  

• Medicare Hospital Provider Compliance Audit: Flagstaff Medical Center

  

• Tribal Health Programs: Concerns About Background Verifications for Staff Working With Indian Children

  

• CMS Generally Met Requirements for the DMEPOS Competitive Bidding Program Round 1 Recompete

  

• Indiana Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 17 of 30 Providers Reviewed

  

• Michigan Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  

• Illinois Claimed Unallowable Telemedicine Payments

  

• Indiana Paid $3.5 Million for Medicaid Nonemergency Medical Transport Claims That Did Not Comply With Federal and State Requirements