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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Delaware State Medicaid Fraud Control Unit: 2015 Onsite Review
OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units' performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based on these reviews. The reviews assess the Units' performance in accordance with the 12 MFCU performance standards and their compliance with applicable Federal requirements.
HPM Foundation, Inc. (HPM), operating in San Juan, Puerto Rico, did not comply with all applicable Federal requirements and grant terms related to its Affordable Care Act-funded capital development grant. Specifically, HPM claimed unallowable construction consulting costs totaling $35,000. In addition, HPM did not (1) comply with procurement standards, (2) separately account for grant funds, (3) properly maintain and track equipment purchased with grant funds, and (4) provide the Health Resources and Services Administration (HRSA) reliable data on the number of patients served.
