Department of Health & Human Services

Historically, only certain groups of individuals who had incomes and assets below certain thresholds were eligible for Medicaid (traditional coverage groups). After the passage of the Patient Protection and Affordable Care Act (ACA), many beneficiaries remained eligible under these traditional...

Intensity-modulated radiation therapy (IMRT) is an advanced type of radiation procedure used to treat difficult-to-reach tumors. National Government Services, Inc. (NGS), the Medicare Administrative Contractor responsible for processing Medicare payments for outpatient services in Jurisdictions 6...

Texas claimed Community First Choice Fee-for-Service (CFC FFS) expenditures appropriately, with minimal errors. Specifically, Texas inappropriately paid for both CFC FFS claims, totaling $116,973 ($73,845 Federal share), and managed care payments for beneficiaries during the same months.

For the fiscal year (FY) 2019 coordinated audit plan, the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), requests $1.5 million to conduct program integrity and fraud prevention activities for the President's Emergency Plan for AIDS Relief (PEPFAR) program. The...

Indiana did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. Indiana did not invoice manufacturers for rebates associated with $710,420 (Federal share) in physician-administered drugs. Of this amount, $695,070 was for...

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in Texas. This factsheet shows Texas' responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, outreach, programs, and...

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in Washington State. This factsheet shows Washington State's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics...

Our objectives were to identify the Health Resources and Services Administration (HRSA's) potential risks for preparing for and responding to hurricanes and other natural disasters and to determine whether HRSA has designed and implemented controls and strategies to mitigate these potential risks.

Wisconsin did not report and return $27.6 million (Federal share) of Medicaid-related settlements and a judgment for the period October 2008 through September 2016. Specifically, it (1) underreported $18.7 million (Federal share) for six settlements and one judgment by computing the Federal share...

Our objectives were to identify the Administration for Children and Families (ACF's) potential risks for preparing for and responding to hurricanes and other natural disasters and to determine whether ACF has designed and implemented controls and strategies to mitigate these potential risks.