Department of Health & Human Services

Source Id

395

Medicare Advantage Compliance Audit of Diagnosis Codes That EmblemHealth (Contract H3330) Submitted to CMS

09/24/2024

2024

A-06-18-02001

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Diagnosis Codes That EmblemHealth (Contract H3330) Submitted to CMS

Medicaid Gross Spending on 10 Selected Diabetes and 2 Selected Weight Loss Drugs Totaled More Than $9 Billion in 2023, an Increase of 540 Percent From 2019

12/16/2024

2025

A-05-24-00016

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicaid Gross Spending on 10 Selected Diabetes and 2 Selected Weight Loss Drugs Totaled More Than $9 Billion in 2023, an Increase of 540 Percent From 2019

Massachusetts Opioid Treatment Program Services Met Many of the Federal and State Requirements

08/29/2024

2024

A-01-23-00002

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Massachusetts Opioid Treatment Program Services Met Many of the Federal and State Requirements

Massachusetts Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements

08/13/2024

2024

A-02-24-01001

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Massachusetts Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements

Massachusetts Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

10/04/2024

2025

A-01-23-00003

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Massachusetts Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Massachusetts Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Emergency Preparedness

10/23/2024

2025

A-01-24-00001

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Massachusetts Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Emergency Preparedness

Maine Did Not Comply With Screening, Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect

11/07/2024

2025

A-01-23-02500

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Maine Did Not Comply With Screening, Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect

Kansas's Implemented Electronic Visit Verification System Could Be Improved

08/20/2024

2024

A-07-23-03255

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Kansas's Implemented Electronic Visit Verification System Could Be Improved

Indiana Made at Least $56 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnosed With Autism

12/16/2024

2025

A-09-22-02002

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Indiana Made at Least $56 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnosed With Autism

Illinois MMIS and E&E System Had Adequate Security Controls in Place, but Some Improvements Are Needed

08/15/2024

2024

A-18-22-09009

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Illinois MMIS and E&E System Had Adequate Security Controls in Place, but Some Improvements Are Needed

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