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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
Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes
On the basis of our review of 100 sampled deficiencies, we determined that the Missouri Department of Health and Senior Services verified nursing homes' correction of deficiencies identified during surveys in calendar year 2014 in accordance with Federal requirements. Accordingly, this report contains no recommendations.
Ensuring that only eligible applicants can enroll in qualified health plans (QHPs) and insurance affordability programs depends on the integrity of the enrollment process. A key part of that process involves resolving inconsistencies between self-attested information submitted by applicants and data received through Federal and other data sources. In June 2014, CMS reported to OIG that the Federal Marketplace was unable to resolve most inconsistencies from the first open enrollment period because the eligibility system was not fully operational. This report follows up on our earlier work, focusing on CMS's data management and resolution of prior inconsistencies.
