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Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees

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

New Jersey Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements

Oklahoma Medicaid Fraud Control Unit: 2025 Inspection

Arkansas Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

New Jersey Did Not Ensure Providers Complied With Federal and State Requirements at All 20 Adult Day Health Services Facilities Audited

Office of Inspector General’s Partnership With the Office of the Kentucky State Auditor of Public Accounts: State Auditor’s Report How Kentucky Failed to Prevent Over $800 Million of Medicaid Waste

Pennsylvania Correctly Invoiced Rebates to Manufacturers for Most Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

Texas' Ambulance Services Supplemental Payment Program Did Not Comply With Federal and State Reimbursement Requirements

South Carolina Did Not Comply With Federal Waiver and State Requirements at 19 of 20 Adult Day Care Facilities

CMS’s Special Focus Facility Program for Nursing Homes Has Not Yielded Lasting Improvements

Special Focus Facility Program Nursing Homes, 2013–2022

Connecticut Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Summary Report of Prior Office of Inspector General Penetration Tests of 10 State MMIS and E&E Systems

Indiana Did Not Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 30 Residential Settings

Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers

Vermont Medicaid Fraud Control Unit: 2024 Inspection

New Jersey Did Not Ensure That Some Medicaid Personal Care Assistant Services Provided Under the Personal Preference Program Met Federal and State Requirements

Texas Did Not Calculate or Collect Hospice Cap Overpayments Totaling $10.5 Million

Serious Falls Resulting in Hospitalization Among Medicare-Enrolled Nursing Home Residents, July 2022–June 2023

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