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Source Id
395

Idaho Medicaid Fraud Control Unit: 2018 Onsite Inspection

2019
OEI-12-18-00320
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units' performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based...

The Food and Drug Administration Did Not Submit Clearance Documents for Any Audit Recommendations During Fiscal Years 2015 and 2016 but Has Since Made Significant Progress

2019
A-07-18-03231
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The U.S. Department of Health and Human Services (HHS), Food and Drug Administration (FDA), did not submit an Office of Inspector General (OIG) clearance document for any of the 166 audit recommendations, which were identified in OIG stewardship reports, during Federal fiscal years (FYs) 2015 and...

National Review of Opioid Prescribing in Medicaid Is Not Yet Possible

2019
OEI-05-18-00480
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Historically, national Medicaid data—a collection of data submitted by all States—have not been complete, accurate, and timely. These data have not yet been adequate for national analysis and oversight, even though some States' data have been sufficient for individual State analysis. Because of...

Southwest Key Did Not Have Adequate Controls in Place To Secure Personally Identifiable Information Under the Unaccompanied Alien Children Program

2019
A-18-18-06001
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

As part of HHS's Administration for Children and Families (ACF), the Office of Refugee Resettlement (ORR) manages the Unaccompanied Alien Children (UAC) program. ORR awards funds, primarily through grants, to organizations to provide residential care to UAC.Our objective was to assess whether...

Southwest Key Programs Did Not Always Comply With Health and Safety Requirements For The Unaccompanied Alien Children Program

2019
A-06-17-07005
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Unaccompanied Alien Children (UAC) program, which is overseen by HHS's Office of Refugee Resettlement (ORR), served between 7,000 and 8,000 children annually from fiscal year (FYs) 2005 through 2011. In FY 2012, the number of children served in the program increased to 13,625. In FY 2014, ORR...

Connecticut Claimed Unallowable Federal Reimbursement for Medicaid Physician-Administered Drugs That Were Not Invoiced to Manufacturers for Rebates

2019
A-07-18-06078
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Connecticut did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. Connecticut did not invoice manufacturers for rebates associated with $1.1 million (Federal share) in physician-administered drugs. Of this amount, $1.07...

The Health Resources and Services Administration Resolved All of Its Audit Recommendations, With Over 99 Percent Resolved in Accordance With Federal Timeliness Requirements

2019
A-07-19-03235
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

HHS, Health Resources and Services Administration (HRSA), 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, HRSA is responsible for resolving Federal and non...

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2017 Average Sales Prices

2019
OEI-03-19-00260
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

When Congress established average sales price (ASP) as the basis for Medicare Part B drug reimbursement, it also provided a mechanism for monitoring market prices and limiting potentially excessive payment amounts. The Social Security Act mandates that OIG compare ASPs with average manufacturer...

Many Medicaid-Enrolled Children Who Were Treated for ADHD Did Not Receive Recommended Followup Care

2019
OEI-07-17-00170
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Attention deficit hyperactivity disorder (ADHD) is a common neurobehavioral disorder with symptoms of inattention, hyperactivity, and impulsivity. The Department of Health and Human Services publishes national quality measures that outline timeframes for followup care for children with ADHD...

HHS Did Not Always Efficiently Plan and Coordinate Its International Ebola Response Efforts

2019
A-04-16-03567
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The U.S. Department of Health and Human Services (HHS) is the U.S. Government's principal agency for protecting the health of all Americans and providing essential human services. Included in that role is a charge to respond to international epidemics that could threaten the United States.

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