The Colorado Department of Health Care Policy and Financing (State agency) claimed Federal Medicaid reimbursement for some Targeted Case Management (TCM) services that did not comply with Federal and State requirements for fiscal years (FYs) 2014 and 2015. Of the 150 randomly sampled TCM claims we reviewed, 49 claims were unallowable because they had at least 1 of the following errors (some claims had more than 1 error): (1) the TCM providers could not provide documentation supporting that the case managers had the qualifications-that is, the education or experience-required by the Colorado TCM State plan amendment (43 claims); (2) the TCM providers could not provide documentation to support that they had actually provided 1 or more TCM services to the Medicaid recipients (10 claims); (3) the TCM providers' case notes lacked sufficient detail to support that claimed services were allowable (5 claims); and (4) the TCM providers were unable to provide complete documentation of recipients' eligibility for TCM services (3 claims).
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Colorado Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services | Audit |
|
View Report | |
| International Trade Commission | Management Letter: Purchase Card Transactions | Other | Agency-Wide | View Report | |
| U.S. Capitol Police | Assessment of the United States Capitol Police Advanced Law Enforcement Response Team | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Veterans Affairs | VA OIG March 2018 Highlights | Other |
|
View Report | |
| Department of the Treasury | TERRORIST FINANCING/MONEY LAUNDERING: OFAC’s Licensing Program Would Benefit From System Enhancements | Audit | Agency-Wide | View Report | |
| Department of War | DoD Reporting of Charge Card Misuse to OMB | Audit | Agency-Wide | View Report | |
| Social Security Administration | Single Audit of the State of Ohio for the Fiscal Year Ended June 30, 2017 | Audit |
|
View Report | |
| Social Security Administration | Undeliverable Social Security Number Cards | Audit | Agency-Wide | View Report | |
| Department of Justice | Audit of the United States Marshals Service’s Information Security Program Pursuant to the Federal Information Security Modernization Act of 2014 Fiscal Year 2017 | Audit | Agency-Wide | View Report | |
| Department of Justice | Audit of the United States Marshals Service’s Property and Asset Control Enterprise Solution Pursuant to the Federal Information Security Modernization Act of 2014 Fiscal Year 2017 | Audit | Agency-Wide | View Report | |