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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Centers for Medicare and Medicaid Services
Report Number
A-04-18-07078
Report Type
Audit
Location

SC,
United States

Number of Recommendations
8
Questioned Costs
$0
Funds for Better Use
$0
External Entity
South Carolina Department of Health & Hu

Open Recommendations

This report has 6 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
22-A-04-048.01 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to ensure that providers follow the reporting requirements for critical events.

22-A-04-048.02 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to provide training to providers on recognizing and reporting critical incidents according to reporting requirements.

22-A-04-048.03 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to perform analytical procedures, such as data matches, on Medicaid claims data to identify any unreported critical incidents, and investigate as needed.

22-A-04-048.05 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to impose sanctions on providers to compel compliance with timely reporting requirements for allegations of ANE and deaths.

22-A-04-048.06 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to require that the IMC contact providers before the results of internal reviews are due to ensure that providers submit such results within required timeframes.

22-A-04-048.08 No $0 $0

We recommend that the South Carolina Department of Health and Human Services work with the Department of Disabilities and Special Needs to develop and implement strategies and processes to prevent future ANE incidents and unexplained beneficiary deaths.

Department of Health & Human Services OIG

United States