Department of Health & Human Services

Billings Clinic Hospital (the Hospital) (operating in Billings, Montana) complied with Medicare billing requirements for 173 of the 179 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining six claims, resulting...

Maryland's Department of Health and Mental Hygiene (State agency) did not always comply with Federal and State requirements when it claimed costs for communicable disease care services. Of the 124 claim lines that we sampled, 49 complied with Federal and State requirements; however, 75 did not. On...

Freeman Hospital (the Hospital) (operating in Joplin, Missouri) complied with Medicare billing requirements for 180 of the 225 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 45 claims, resulting in...

Overall, the Department continues to implement changes to strengthen its enterprise-wide information security program. However, opportunities were identified that will allow HHS to continue to enhance its enterprise-wide information security program. We identified several reportable exceptions in...

We performed a wireless penetration test of select Centers for Medicare & Medicaid Services' Data Centers and facilities to determine whether CMS's security controls over its wireless networks were effective.

The Texas Department of Aging and Disability Services incorrectly claimed approximately $3 million in costs as Medicaid medical assistance expenditures and inappropriately received approximately $570,000 in Federal share.

The Texas Health and Human Services Commission (State agency) claimed $72.2 million in expenditures that were not related to eligible noninstitutional long-term services and supports and inappropriately received $1.4 million in Balancing Incentive Payments Program funding. Additionally, the State...

The New Jersey Department of Human Services (State agency) claimed Federal Medicaid reimbursement for some Global Options for Long-Term Care (GO-LTC) waiver services that did not comply with certain Federal and State requirements. Of the 131 beneficiary-months in our sample, the State agency...

Not all of the District of Columbia marketplace's (District marketplace) internal controls were effective in ensuring that individuals were enrolled in qualified health plans (QHP) according to Federal requirements.

Nevada did not allocate costs for establishing a health insurance marketplace to its establishment grants in accordance with Federal requirements. As a result, Nevada misallocated $893,000 in costs to the establishment grants instead of the Medicaid program over 3 years.