Department of Health & Human Services

The Health Information Technology for Economic and Clinical Health Act established the Medicare and Medicaid electronic health record (EHR) incentive programs to promote the adoption of EHRs and to improve health care quality, safety, and efficiency through the promotion of health information...

We determined that the Wisconsin Medicaid program could have saved $16.2 million (approximately $9.6 million Federal share) in 2014 if Wisconsin (1) required its Medicaid managed care plans to meet the minimum medical loss ratio (MLR) standard similar to the Federal standards for certain private...

The State agency complied with the requirements of the Social Security Act when it received a credible allegation of fraud by its Medicaid providers.

The Texas Department of Family and Protective Services (State agency) did not always ensure that allegations and referrals of abuse and neglect for children in foster care covered by Title IV-E of the Act were recorded and investigated in accordance with Federal and State requirements. Of the 100...

In the future, Medicare could save millions if the Centers for Medicare & Medicaid Services (CMS) seeks legislation to eliminate the lump-sum payment option and requires all power mobility devices (PMDs) be provided to beneficiaries on a monthly rental basis.

This summary report provides an overview of the results of our audit of the information security controls over Virginia's Medicaid Management Information System (MMIS). It does not include specific details of the vulnerabilities that we identified because of the sensitive nature of the information...

The Program Support Center (PSC) obligated and expended funds for 17 of the 30 contracts we reviewed in accordance with appropriations law and Federal acquisition requirements; however, for the remaining 13 contracts, the PSC did not always obligate and expend funds for its contracts in compliance...

Kentucky did not always determine Medicaid eligibility in accordance with Federal and State requirements. Of our sample of 120 beneficiaries, Kentucky correctly determined eligibility for 111 beneficiaries, but it did not determine eligibility for the remaining 9 beneficiaries in accordance with...

The Office of Inspector General (OIG) must review the Department of Health and Human Services (HHS) compliance with the Improper Payments Information Act of 2002 (IPIA; P.L. No. 107-300) as amended by the Improper Payments Elimination and Recovery Act of 2010 (P.L. No. 111-204) and the Improper...

CGS Administrators, LLC, did not claim $6,000 of allowable Medicare postretirement benefit costs that on its Incurred Cost Proposals for calendar years 2010 and 2011.