Federal Reports

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The objective of this limited scope follow-up review was to determine if the agreed upon corrective actions taken in response to four findings from the Final Report on the Program Evaluation of Peace Corps/Namibia issued in March 2013 were fully implemented and had the intended effects. We found that, overall, the post had improved with respect to three of the four areas selected for review, particularly in iterating on feedback and agency guidance where technical training was concerned. This follow-up included four recommendations, all with which the post concurred.

This report presents the results of our self-initiated audit of Miscellaneous Non-Postal Revenue Refunds - Golden, IL, Post Office. The Golden, IL, Post Office is located in the Gateway District of the Great Lakes Area. The Golden Post Office is a Remotely Managed Post Office (RMPO),1 with management and oversight provided by the Camp Point, IL Administrative Post Office. This audit was designed to provide U.S. Postal Service management with timely information on potential financial control risks at Postal Service locations. The objective of this audit was to determine whether refunds of miscellaneous non-postal revenue were valid and properly supported at the Golden Post Office.

For a covered outpatient drug to be eligible for Federal Medicaid reimbursement, the manufacturer must enter into a rebate agreement administered by the Centers for Medicare & Medicaid Services (CMS) and pay quarterly rebates to the States. Previous OIG reviews found that States did not always bill and collect all rebates due for drugs administered by physicians to enrollees of Medicaid managed-care organizations (MCOs).

As part of its Research and Demonstration Waiver for Medicaid reform (the waiver), Florida established the Low Income Pool (LIP) program to compensate hospitals for providing care to low-income patients. During State fiscal years (SFYs) 2010 through 2014, hospitals received a total of $5.1 billion in LIP funds. Jackson Memorial Hospital (the Hospital) received $1.8 billion of this total.

The Patient Protection and Affordable Care Act (ACA) gave States the option to expand Medicaid coverage to low-income adults without dependent children and established a higher Federal reimbursement rate for services provided to these newly eligible beneficiaries. If these beneficiaries' eligibility had been incorrectly determined, payments made on their behalf (1) would have been reimbursed at a higher rate than they should have been or (2) should not have been reimbursed at all. This review is part of an ongoing series of reviews of newly eligible beneficiaries.