Department of Health & Human Services

Vidant Medical Center (the Hospital), in Greenville, North Carolina, complied with Medicare billing requirements for diagnosis codes 261 and 262 for 11 of the 100 claims that we reviewed. However, the Hospital did not comply with Medicare billing requirements for the remaining 89 claims. For two of...

The Centers for Disease Control and Prevention awarded all 31 selected Ebola-related international grants totaling $122 million in accordance with applicable laws, regulations, and departmental guidance.

Not all of the Commonwealth of Puerto Rico's Department of the Family's (State agency) controls for provider and client eligibility determinations were effective. Specifically, all of the provider eligibility controls we tested for provider background checks, required provider forms, and provider...

The New York State Department of Health claimed Federal Medicaid reimbursement for dental services billed by a Queens dentist that did not always comply with certain Federal and State requirements. Of the 100 randomly selected beneficiaries that we reviewed, claims associated with 67 beneficiaries...

The New York State Department of Health claimed Federal Medicaid reimbursement for dental services billed by a Westchester County dentist that did not always comply with certain Federal and State requirements. Of the 100 randomly selected beneficiaries that we reviewed, claims associated with 78...

Federal law requires that each Medicare administrative contractor (MAC) have its information security program evaluated annually by an independent entity, and these evaluations must address the eight major requirements enumerated in the Federal Information Security Management Act of 2002 (FISMA). To...

On the basis of our review of 41 subrecipients, we determined that the New Jersey Department of Human Services (State agency) budgeted appropriate costs and claimed Sandy Social Services Block Grant costs that were in accordance with Federal requirements as of March 31, 2014. However, the State...

For the nine Medicaid managed-care organizations (MCOs) we reviewed, the Medicaid program would not have realized savings in 2014 if the California Department of Health Care Services (State agency) had required its MCOs to meet a minimum medical loss ratio (MLR) standard, similar to the Federal...

This report provides the results of our review of the Centers for Disease Control and Prevention (CDC) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also reviewed...

This report provides the results of our review of the Health Resources and Services Administration (HRSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also...