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All Reports and Publications

All Reports and Publications

New Jersey Significantly Improved Its Oversight of Medicaid Adult Partial Care Services Except for Those Provided Using Telehealth During the COVID-19 Public Health Emergency

Alabama MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed

Delaware Made Capitation Payments to Medicaid Managed Care Organizations After Enrollees’ Deaths

CMS Did Not Ensure That Selected States Complied With Medicaid Managed Care Mental Health and Substance Use Disorder Parity Requirements

Utah MMIS and E&E System Had Adequate Security Controls In Place, but Improvements Are Needed

South Carolina MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed

Kansas’s Medicaid Estate Recovery Program Was Cost Effective, but Kansas Did Not Always Follow Its Procedures, Which Could Have Resulted in Reduced Recoveries

Pennsylvania Improperly Claimed $551 Million in Medicaid Funds for Its School-Based Program

Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes

Colorado Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Oklahoma Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Ohio Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Washington State Did Not Ensure That Selected Nursing Homes Complied With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Connecticut Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents

Pennsylvania Implemented Our Prior Audit Recommendations for Critical Incidents Involving Medicaid Enrollees With Developmental Disabilities but Should Continue To Take Action To Reduce Unreported Incidents

Louisiana Should Improve Its Oversight of Nursing Homes' Compliance With Requirements That Prohibit Employment of Individuals With Disqualifying Background Checks

Multiple States Made Medicaid Capitation Payments to Managed Care Organizations After Enrollees' Deaths

Pennsylvania Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

States Face Ongoing Challenges in Meeting Third-Party Liability Requirements for Ensuring That Medicaid Functions as the Payer of Last Resort

South Dakota MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed

All Reports and Publications

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