Department of Health & Human Services

Danbury Hospital (the Hospital), located in Danbury, Connecticut, did not always comply with Medicare requirements for reporting wage data in its fiscal year (FY) 2010 Medicare cost report. Specifically, the Hospital reported overstated wage data totaling $4.9 million and 10,000 hours, which...

This report provides the results of our review of the attached Substance Abuse and Mental Health Services Administration (SAMHSA) detailed accounting submission, which includes the Table of Prior Year Drug Control Obligations, related disclosures, and management's assertions for the fiscal year...

This report provides the results of our review of the National Institutes of Health (NIH) detailed accounting submissions, which include the tables of Fiscal Year 2015 Actual Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2015. We also reviewed...

This report provides the results of our review of the Indian Health Service (IHS) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2015. We also reviewed the Performance...

CMS could not ensure that advance premium tax credit (APTC) payments made to qualified health plan (QHP) issuers were only for enrollees who had paid their premiums. Specifically, we found that CMS (1) did not have a process in place to ensure that APTC payments were made only for enrollees who had...

Generic drug price increases exceeded the specified statutory inflation factor applicable to brand-name drugs for 22 percent of the quarterly average manufacturer prices we reviewed. If the provision for brand-name drugs were extended to generic drugs, the Medicaid program would receive additional...

We summarized the high-risk security vulnerabilities that we identified as audit findings in our previous reviews of information system general controls at three California Medi Cal managed-care organizations (MCOs). We identified 74 high-risk security vulnerabilities in the information system...

We could not determine whether West Virginia's Severance and Business Privilege Tax (Severance Tax) is a permissible health-care-related tax. The Severance Tax does not place at least 85 percent of the tax burden on behavioral health services. We could not determine if the Severance Tax treats...

The California Department of Health Care Services (State agency) did not always comply with Federal Medicaid requirements for billing manufacturers for rebates for physician-administered drugs during three selected quarters between 2008 and 2010. Of $178.6 million in claims that were billed for...

For the period October 2007 through September 2014, we determined that the California Department of Health Care Services (State agency) did not correctly claim Medicaid expenditures for Indian Health Service facilities in accordance with Federal requirements.