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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

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

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

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

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

North Carolina’s Medicaid Control Environment, Risk Management Practices, and Governing Processes Were Assessed as Moderate Risk

Office of Inspector General’s Partnership With the Commonwealth of Massachusetts, Office of the State Auditor: Office of Medicaid (MassHealth) – Review of Capitation Payments With Multiple Identification Numbers

Medicare Part D Spending for 10 Selected Diabetes Drugs Totaled $35.8 Billion in 2023, an Increase of 364 Percent From 2019

Office of Inspector General’s Partnership With the Office of the Washington State Auditor: State Auditor’s Report Examining Washington’s Concurrent Medicaid Enrollments

Mental Health Center of Florida Generally Met Medicare Billing Requirements for Some Psychotherapy Services

Medicare Paid Claims That Were Not in Accordance With the Over-the- Counter COVID-19 Test Kits Demonstration Quantity Limitation

Massachusetts Generally Claimed Safety Net Care Pool Costs That Complied With Federal Requirements

Colorado Made Capitation Payments to Managed Care Organizations After Enrollees’ Deaths

Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters

West Virginia Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs

Independent Attestation Review: CMS Fiscal Year 2024 Detailed Accounting Submission and Fiscal Year 2026 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertions

Medicare Could Save Billions With Comparable Access for Enrollees if Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System

Florida Did Not Comply With Federal Waiver and State Requirements at 18 of 20 Adult Day Care Facilities Reviewed

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