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Source Id
395

Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs

2018
A-09-16-02037
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

For calendar years 2014 and 2015, Lincare Pharmacy Services Inc. (Lincare), which is located in Clearwater, Florida, generally complied with Medicare requirements when billing for inhalation drugs. Of the 100 claim lines in our sample, 97 complied with the requirements. However, the remaining three...

Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates

2018
OEI-03-17-00100
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Manufacturers with rebate agreements are required to report all of their covered outpatient drugs to the Medicaid Drug Rebate Program (Medicaid rebate program). CMS calculates rebate amounts using manufacturer reported pricing and classification data. Congress asked OIG to evaluate the accuracy of...

The Administration for Children and Families Did Not Always Resolve American Indian and Alaska Native Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements

2018
A-06-17-07003
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Head Start grantees are required to have Single Audits conducted in accordance with the Office of Management and Budget Circular A 133 (also known as A-133 audits) for fiscal years beginning before December 26, 2014. The Administration for Children and Families (ACF) is responsible for following up...

Summary Report for Fiscal Year 2016 OIG Penetration Testing of Four HHS Operating Division Networks

2018
A-18-17-08500
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted a series of OIG audits at four HHS Operating Divisions (OPDIVs) using network and web application penetration testing to determine how well HHS systems were protected when subject to cyberattacks.

The State of North Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Eligibility Determination Systems and Data

2018
A-07-16-00486
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The U.S. Department of health and Human Services (HHS) oversees States' administration of various Federal programs, including Medicaid. State agencies are required to establish appropriate computer system security requirements and conduct biennial reviews of computer system security used in the...

Some Massachusetts Group Homes for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements

2018
A-01-16-02500
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Although the Department of Early Education and Care (State licensing agency) performed the required onsite monitoring at all 30 of the group homes that we reviewed, this onsite monitoring did not ensure that all 30 homes complied with State licensing requirements related to the health and safety of...

North Carolina Did Not Comply With Federal and State Requirements When Making Medicaid Cost-Sharing Payments for Professional Medical Services

2018
A-04-16-04054
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

States must make medical assistance available for Medicare deductibles, coinsurance, and copayments (cost-sharing) for certain individuals who are dually eligible to be enrolled in both Medicare and Medicaid.

Two Indian Health Service Hospitals Had System Security and Physical Controls for Prescription Drug and Opioid Dispensing but Could Still Improve Controls

2018
A-18-16-30540
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted this review to assess the Indian Health Service's (IHS) physical and information technology controls over prescription drugs such as opioids and to identify measures that could prevent drug diversions.

Not All of Missouri's Child Care Subsidy Program Payments Complied With Federal and State Requirements

2018
A-07-15-04226
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Missouri Department of Social Services (State agency) did not always comply with Federal and State requirements when making payments under its Child Care subsidy program for State fiscal years 2014 and 2015. Client attendance records were not adequately documented for 124 of the 128 provider...

Pine Bluff Jefferson County Economic Opportunities Commission Did Not Always Operate Its Head Start Program in Accordance With Federal Requirements

2018
A-06-16-00013
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Pine Bluff Jefferson County Economic Opportunities Commission (Pine Bluff) did not always claim Head Start grant costs that were allowable and allocable in accordance with Federal regulations. Specifically, Pine Bluff claimed $392,094 of unsupported non-Federal share; $214,372 in costs that did not...

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