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CMS’s Oversight of Medicare Administrative Contractors’ Cost Report Settlement Processes Was Not Adequate To Identify Settlements That Contained Obvious Errors and That Had Inadequate Supervisory Review

Nursing Facilities Retained Only About Half of the $1.02 Billion Indiana Reported as Nursing Facility Supplemental Payments in Federal Fiscal Year 2022

Iowa’s Compliance With Requirements for Reporting Child Abuse and Neglect Could Be Improved

HRSA Made $658 Million in Potential Overpayments to Selected Providers Under Phase 3 of the Provider Relief Fund Program

Louisiana Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees

Potential Vulnerabilities in CMS’s Oversight of Medicare Providers’ Billing of Selected Outpatient Drugs

Four States Implemented Different Nursing Home Minimum Spending Requirements Related to Resident Care, and Three of These States and Some Nursing Homes Experienced Challenges

Kentucky Could Better Protect Children Residing in Qualified Residential Treatment Programs

HHS Has Not Made Additional Progress Toward Compliance With the Geospatial Data Act

South Carolina Did Not Report Approximately $108.6 Million of the Federal Share of Medicaid and CHIP Collections Subject to the Increased COVID-19 Federal Medical Assistance Percentage

Wisconsin May Have Improperly Claimed $455 Million in Medicaid Reimbursement for Its School-Based Program

Arkansas Failed to Comply With the Immediate Screening, Risk and Safety Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect

Medicare Advantage Organizations and Prescription Drug Plans Paid $72 Million During a 3-Year Period for Services Associated With Excluded Providers or Individuals Convicted of Certain Felonies

Tennessee Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements

Many Independent Organ Procurement Organizations Did Not Meet Medicare Requirements for Reporting Kidney Transportation Costs and Some Did Not Transport Organs in Accordance With Medicare Requirements

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UnitedHealthcare Benefits of Texas, Inc. (Contract H0609), Submitted to CMS

New York Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees

Connecticut Could Better Ensure That the Department of Developmental Services and Providers Fully Comply With Federal Waiver and State Health and Safety Requirements for Individualized Home Support Services

Methodist Hospital Received at Least $12.4 Million in Medicare Overpayments

Medicare Hospital Provider Compliance Audit: McLeod Regional Medical Center

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