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All Reports and Publications

All Reports and Publications

Wisconsin Made at Least $18.5 Million in Improper Fee-For-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnoses With Autism

Medicare Home Health Agency Provider Compliance Audit: Sunflower Home Health

A Large Northeastern Hospital Could Improve Certain Security Controls for Preventing and Detecting Cyberattacks

Medicare Home Health Agency Provider Compliance Audit: HRS Home Health

CMS Should Improve Its Methodology for Collecting Medicare Postoperative Visit Data on Global Surgeries

Availability of Surveyed Behavioral Health Providers to Treat New Patients Enrolled in Medicare and Medicaid

Part D Plans Generally Include Drugs Commonly Used by Dual-Eligible Enrollees: 2025

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

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Coventry Health and Life Insurance Company (Contract H1608) Submitted to CMS

CMS Use of Staffing Data To Inform State Oversight of Nursing Homes

Medicare Payments for Evaluation and Management Services Provided on the Same Day as Eye Injections Were at Risk for Noncompliance With Medicare Requirements

Maryland Did Not Comply With Federal Waiver and State Requirements at 20 Adult Day Care Facilities Audited

CMS Is Not Systematically Tracking Whether States Return Federal Shares of Medicaid Managed Care Remittances

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2024

Most Medicare Part D Plans’ Formularies Included Humira Biosimilars for 2025

Ohio Did Not Comply With Federal Waiver and State Requirements at 18 of 19 Adult Day Care Facilities Audited

Fewer than One in Five Medicare Enrollees Received Medication to Treat Their Opioid Use Disorder

Medicare Administrative Contractors Did Not Consistently Meet Medicare Cost Report Oversight Requirements

State Survey Agencies Need Additional Guidance to Assess Nursing Home Emergency Preparedness Programs

Texas Did Not Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at All 20 Adult Day Activity Health and Service Facilities Audited

All Reports and Publications

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