Federal Reports

Administrative costs received by the Blue Cross Blue Shield Association on its FYs 2010 through 2015 FACPs were generally reasonable, allowable, and allocable and in compliance with Federal regulations. However, we identified $161,000 in unspent termination funds, a $7,000 severance benefit overpayment, and $6,000 in unallowable costs.

Transmittal of the Final Report Assessing the Federal Trade Commission’s Compliance with the Federal Information Security Management Act for Fiscal Year 2016 (Redacted for public release)

New York claimed Federal Medicaid reimbursement for partial hospitalization services claims that did not comply with Federal and State requirements. Specifically, of the 100 claims in our random sample, 59 claims complied with Federal and State requirements, but 41 claims did not. The deficiencies occurred because certain providers did not comply with partial hospitalization program requirements. In addition, although New York performed licensing renewal visits to providers at least every 3 years, these visits were not effective in preventing instances of noncompliance during our audit period. On the basis of our sample results, we estimated that New York improperly claimed at least $4 million in Federal Medicaid reimbursement over 5 years for partial hospitalization services that did not meet Federal and State requirements.