Federal Reports

The Missouri Department of Social Services, Missouri HealthNet Division's (State agency) Medicaid payment rates for individualized supporting living (ISL) habilitation services provided and paid for during State fiscal years 2011 through 2013 were not always in accordance with Federal requirements. Specifically, the State agency included costs that were not approved in some of its payment rates for ISL habilitation services. In addition, the State agency included unallowable costs in some of its payment rates for these services. Because these unapproved and unallowable costs were prohibited under Federal requirements, the associated payments were unallowable.

We found that the California Department of Education did not adequately monitor the LEAs in our review to ensure that the LEAs had sufficient fiscal controls for obligating and paying Federal funds to School Improvement Grants contractors. Our review further identified more than $121,000 in unsupported costs and more than $142,000 paid for services provided before contracts or purchase orders were approved.

The Rensselaerville Institute (TRI) is a non-profit, independent educational institution. TRI participates in programs for community development and revitalization projects through grants, contracts and consulting arrangements; working to turn around failing schools, focusing government resources to improve outcomes and coordinating the development and/or improvement of water supply systems in certain small , rural communities.

ARC awarded the grant to support MSU's effort in delivering the High Performance Leadership Institute (HPLI), a program designed to help educators and administrators within Appalachian Mississippi dramatically improve their schools.

Payments that the Medicare contractors for Jurisdiction E (which covers California, Hawaii, Nevada, and three Pacific territories) made to hospitals for 191 inpatient and outpatient claims for replaced cardiac medical devices did not comply with Medicare requirements for reporting manufacturer credits. The hospitals' incorrect billing of these claims resulted in overpayments of $2.1 million that the hospitals had not identified, refunded, or adjusted by the beginning of our audit. The Medicare contractors overpaid the hospitals because they had no specific controls to ensure that hospitals complied with Medicare requirements for reporting manufacturer credits.