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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

Medicare Improperly Paid Suppliers $22.7 Million Over 7 Years for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Enrollees During Inpatient Stays

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

Special Focus Facility Program Nursing Homes, 2013–2022

Medicare Home Health Agency Provider Compliance Audit: VNA Care Network

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

Medicare Could Have Saved $301.5 Million if Bundled Payment Rates for Opioid-Use-Disorder Treatment Services Had Reflected Services Provided to Enrollees

HRSA Rural Communities Opioid Response Program Award Recipients Generally Met All Core Activities and Benchmarks

Hospitals Charged CMS for Trauma Team Activations That Did Not Comply With Federal Requirements

Deficiencies With Incorporating Required Cybersecurity Language in HHS Contracts and Timeliness of Contractor Incident Reporting

Seventeen of Twenty-Five Selected Hospitals Did Not Comply or May Not Have Complied With the Provider Relief Fund Balance Billing Requirement

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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