Department of Health & Human Services

Hoveround Corporation often did not claim Medicare reimbursement for power mobility devices (PMDs) in accordance with Medicare requirements. Medicare Part B covers PMDs, which include power wheelchairs and power-operated vehicles. High incidences of fraud and improper payments have been historically...

The New York State Department of Health (State agency) claimed Medicaid reimbursement for some adult day health care services (ADHC) provided by Metropolitan Jewish Health System (MJHS) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, the State...

The State agency claimed Medicaid reimbursement for some Adult Day Health Care Services (ADHC) services provided by Center for Nursing and Rehabilitation (CNR) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, 90 complied with Federal and State...

Under the Children's Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in...

University of California, Davis, Medical Center (the Hospital), located in Sacramento, California, complied with Medicare billing requirements for 130 of the 231 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the...

National Government Services, Inc. (NGS), the durable medical equipment Medicare administrative contractor for Jurisdiction B, made payments for calendar year 2013 to suppliers that dispensed diabetic test strips when the beneficiaries had not nearly exhausted test strips previously dispensed by...

Sierra View Medical Center (the Medical Center), located in Porterville, California, complied with Medicare billing requirements for 5 of the 30 inpatient and outpatient claims we reviewed. However, the Medical Center did not fully comply with Medicare billing requirements for the remaining 25...

For the $17.6 million that we reviewed, the District marketplace allocated and claimed all (1) shared IT costs for establishing a health insurance marketplace in accordance with the CMS-approved methodology and (2) direct costs in accordance with Federal requirements. Therefore, we have no...

Although the South Carolina Department of Social Services (State agency) had conducted the required monitoring at all four of the childcare providers that we reviewed, this monitoring did not always ensure that providers that received funds from the Child Care and Development Fund complied with...

We found that the expenditures that the Vermont Agency of Human Services (State agency) reported in the Indian Health Service (IHS) facilities' column of the Form CMS-64 were for primary care services not provided in an IHS facility. However, like services provided in IHS facilities, these primary...