Department of Health & Human Services OIG

Some of the New York State Department of Health's (State agency) claims for Federal Medicaid reimbursement for Long-Term Home Health Care Waiver Program (LTHHCP) services did not comply with certain Federal and State requirements. On the basis of our sample results, we estimated that the State...

The Ohio Association of Foodbanks (Ohio Foodbanks) assists consumers with obtaining healthcare coverage through the marketplaces and provides consumers with information about insurance affordability programs. Navigator assistance personnel (navigators) also work to raise awareness about the...

The New York State Office of Children and Family Services awarded approximately $2.8 million of Disaster Relief Act funds to Bayview Nursing and Rehabilitation Center (Bayview) for construction and equipment expenses resulting from Hurricane Sandy.

The Wyoming Department of Health, Division of Healthcare Financing (State agency), did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. The State agency did not invoice manufacturers for rebates associated with $2.6...

Saint Louis University Hospital (the Hospital) (operating in Saint Louis, Missouri) complied with Medicare billing requirements for 243 of the 261 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 18 claims...

Cornerstone Hospital of Bossier City (The Hospital), in Bossier City, Louisiana, did not comply with Medicare requirements for billing Kwashiorkor on any of the 73 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor but should have billed for other forms of malnutrition...

The payments that First Coast Service Options (FCSO) made to providers in Jurisdiction N (Florida, Puerto Rico, and the U.S. Virgin Islands) for hospital outpatient dental services generally did not comply with Medicare requirements. Of the 100 dental services in our stratified random sample, 95 did...

The Centers for Medicare & Medicaid Services (CMS) has not issued guidance instructing States on the appropriate extent and timing of Medicaid withdrawals. Specifically, CMS has not issued guidance that clarifies the "as needed" language in 42 CFR § 430.30(d)(3) that would educate States on the...

For fiscal years (FYs) 2012 and 2013, the South Carolina Office of Economic Opportunity (State agency) claimed costs on behalf of Wateree Community Actions, Inc. (Wateree), for Community Services Block Grant (CSBG) and Low-Income Home Energy Assistance Program (LIHEAP) grants that were allowable...

The Florida Office of Early Learning (State lead agency) or counties did not always ensure that providers that received funding from the Child Care and Development Fund (CCDF) complied with State requirements related to the health and safety of children. Specifically, of the 20 providers we selected...