Department of Health & Human Services OIG

The Puerto Rico Department of the Family (State agency) did not ensure that providers that received funds from the Child Care and Development Fund (CCDF) complied with Administration for Integral Child Care and Development (lead agency) requirements related to the health and safety of children. We...

Although the North Dakota Department of Human Services (State agency) generally complied with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs, it claimed unallowable Federal reimbursement for some of these drugs. The State agency did not invoice...

Danbury Hospital (the Hospital), located in Danbury, Connecticut, did not always comply with Medicare requirements for reporting wage data in its fiscal year (FY) 2010 Medicare cost report. Specifically, the Hospital reported overstated wage data totaling $4.9 million and 10,000 hours, which...

This report provides the results of our review of the attached Substance Abuse and Mental Health Services Administration (SAMHSA) detailed accounting submission, which includes the Table of Prior Year Drug Control Obligations, related disclosures, and management's assertions for the fiscal year...

This report provides the results of our review of the National Institutes of Health (NIH) detailed accounting submissions, which include the tables of Fiscal Year 2015 Actual Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2015. We also reviewed...

This report provides the results of our review of the Indian Health Service (IHS) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2015. We also reviewed the Performance...

CMS could not ensure that advance premium tax credit (APTC) payments made to qualified health plan (QHP) issuers were only for enrollees who had paid their premiums. Specifically, we found that CMS (1) did not have a process in place to ensure that APTC payments were made only for enrollees who had...

Generic drug price increases exceeded the specified statutory inflation factor applicable to brand-name drugs for 22 percent of the quarterly average manufacturer prices we reviewed. If the provision for brand-name drugs were extended to generic drugs, the Medicaid program would receive additional...

We summarized the high-risk security vulnerabilities that we identified as audit findings in our previous reviews of information system general controls at three California Medi Cal managed-care organizations (MCOs). We identified 74 high-risk security vulnerabilities in the information system...

We could not determine whether West Virginia's Severance and Business Privilege Tax (Severance Tax) is a permissible health-care-related tax. The Severance Tax does not place at least 85 percent of the tax burden on behavioral health services. We could not determine if the Severance Tax treats...