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Source Id
395

Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder

2020
OEI-12-17-00240
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Adequate access to treatment is vital in addressing the escalating rates of addiction and mortality related to opioid misuse and abuse. Medication-assisted treatment (MAT) couples medication (such as buprenorphine, methadone, or naltrexone) with counseling and behavioral therapies to treat opioid...

More Than One-Third of New Jersey's Federal Medicaid Reimbursement for Providing Community-Based Treatment Services Was Unallowable

2020
A-02-17-01020
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Prior OIG audits of New Jersey's Medicaid mental health services identified a significant number of improper claims. On the basis of these audits, we initiated an audit of similar mental health services provided under New Jersey's Programs of Assertive Community Treatment (PACT).

Medicare Market Shares of Diabetes Test Strips From April Through June 2019

2020
OEI-04-19-00481
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

In 2011, CMS implemented a Competitive Bidding Program (CBP) for mail-order diabetes test strips (DTS) in limited areas, and in July 2013, CMS expanded the program nationally to include a national mail-order program (the National Mail-Order Program). The Medicare Improvements for Patients and...

The National Institutes of Health Submitted OIG Clearance Documents for Just Over One-Half of Its Audit Recommendations, and the Remaining 225 Recommendations Were Unresolved as of September 30, 2016

2020
A-07-19-03236
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The U.S. Department of Health and Human Services (HHS), National Institutes of Health (NIH), is subject to Federal audits of its internal activities as well as Federal and non-Federal audits of activities performed by its grantees and contractors. As a followup to these audits, NIH is responsible...

CMS's Implementation of a 2014 Policy Change Resulted in Improvements in the Reporting of Coverage Gap Discounts Under Medicare Part D

2020
A-07-16-06067
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Coverage Gap Discount Program (CGDP) made manufacturer discounts equal to 50 percent of the negotiated price of applicable, covered Part D drugs available to Medicare Part D beneficiaries during calendar years (CYs) 2011 through 2018. During CYs 2013 and 2014, Coverage Gap discounts totaled more...

Tennessee's Monitoring Ensured Compliance With Criminal Background Check Requirements at 28 of the 30 Childcare Providers Reviewed

2020
A-04-19-02023
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Child Care and Development Block Grant Act (CCDBG Act) of 2014 added new requirements for States that received funding from the Child Care and Development Fund (CCDF) to conduct comprehensive criminal background checks on staff members and prospective staff members of childcare providers every 5...

Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

2020
A-03-17-00202
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We have performed audits in several States in response to a congressional request concerning deaths and abuse of people with developmental disabilities living in group homes. Federal waivers permit States to furnish an array of home and community-based services to Medicaid beneficiaries with...

Florida's Refugee Medical Assistance Payments Were Generally Allowable

2020
A-04-18-02010
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Refugee Act of 1980 created the Refugee Resettlement Program (RRP) to provide for the effective resettlement of refugees and to assist them in achieving economic self-sufficiency after arriving in the United States. The Act provides Federal grants to States for cash and medical assistance...

Novitas Solutions, Inc. Needs Enhanced Guidance and Provider Education Related to Phlebotomy Travel Allowances

2020
A-06-17-04002
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Medicare pays a specimen collection fee when it is medically necessary for a clinical laboratory technician to draw a specimen to perform a clinical diagnostic laboratory test. When a technician travels to a nursing facility or homebound patient and a specimen collection fee is payable, the Social...

CMS's Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas

2020
A-09-19-03003
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

From the beginning of the Medicare program, beneficiaries' Medicare cards displayed Social Security numbers (SSNs), which increased beneficiaries' vulnerability to identity theft. To meet the requirements of a 2015 Federal law, the Centers for Medicare & Medicaid Services (CMS) generated new...

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