OIG is focused on promoting the economy, efficiency, and effectiveness of Affordable Care Act (ACA) programs across HHS. We are conducting reviews of the health insurance marketplaces and related programs, as well as reviews of other health reform programs in Medicare, Medicaid, and the public health programs. Below is a consolidated list of reviews we have issued in these areas. It will be updated as new reviews are published.
Report Title |
Issue Date |
Report Number |
Corporaci�n Salud Asegurada por Nuestra Organizaci�n Solidaria, Inc., a Health Resources and Services Administration Grantee, Generally Complied With Federal Grant Requirements |
11-29-2018 |
(A-02-17-02004) |
Pennsylvania Generally Complied With Maternal, Infant, and Early Childhood Home Visiting Program Requirements |
10-10-2018 |
(A-03-15-03300) |
Illinois Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements |
07-24-2018 |
(A-05-16-00066) |
Henry J. Austin Health Center, Inc., a Health Resources and Services Administration Grantee, Did Not Comply With Federal Grant Requirements |
02-01-2018 |
(A-02-17-02002) |
Indiana Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements |
12-22-2017 |
(A-05-16-00056) |
Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements |
09-11-2017 |
(A-05-15-00049) |
CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming |
05-01-2017 |
(OEI-01-15-00320) |
Housing Works, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant |
12-08-2016 |
(A-02-15-02001) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2016 |
06-29-2016 |
(OEI-05-16-00090) |
State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates |
06-07-2016 |
(OEI-05-14-00430) |
Observations From Our Review of CMS's Administration of the First Performance Year of the Pioneer Accountable Care Organization Payment Model |
05-31-2016 |
(A-01-13-00509) |
Medicaid Enhanced Provider Enrollment Screenings Have Not Been Fully Implemented |
05-20-2016 |
(OEI-05-13-00520) |
Medicaid: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure |
05-20-2016 |
(OEI-04-11-00590) |
Medicare Vulnerabilities Related to Provider Enrollment and Ownership Disclosure |
05-20-2016 |
(OEI-04-11-00591) |
Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results |
04-27-2016 |
(OEI-03-13-00050) |
Inconsistencies in State Implementation of Correct Coding Edits May Allow Improper Medicaid Payments |
04-15-2016 |
(OEI-09-14-00440) |
The Ohio Association of Foodbanks Generally Complied With the Navigator Requirements Related to the Affordable Care Act |
04-05-2016 |
(A-05-15-00013) |
HPM Foundation, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant |
02-05-2016 |
(A-02-14-02022) |
Hidalgo Medical Services Did Not Comply With All Federal Requirements Related to Its Capital Development Grant |
01-25-2016 |
(A-06-14-00056) |
National Background Check Program for Long-Term-Care Employees: Interim Report |
01-19-2016 |
(OEI-07-10-00420) |
North Carolina Department of Health and Human Services Did Not Always Claim Costs Under CDC Prevention and Public Health Fund Awards in Accordance with Federal Requirements |
01-14-2016 |
(A-04-14-04028) |
Arkansas Complied With the Requirements of the Affordable Care Act in Its Review of Cases of Credible Allegations of Medicaid Fraud |
09-21-2015 |
(A-06-15-00026) |
States' Collection of Rebates for Drugs Paid Through Medicaid Managed Care Organizations Has Improved |
09-16-2015 |
(OEI-05-14-00431) |
Washington State Did Not Suspend Medicaid Payments to Some Providers With Credible Allegations of Fraud in Accordance With the Affordable Care Act |
08-31-2015 |
(A-09-14-02018) |
Providers Did Not Always Reconcile Patient Records With Credit Balances and Report and Return the Associated Medicaid Overpayments to State Agencies |
08-26-2015 |
(A-04-14-04029) |
Community of Hope Generally Complied With the Requirements of a Capital Development Grant Funded Under the Affordable Care Act |
08-18-2015 |
(A-03-14-03304) |
Providers Terminated from One State Medicaid Program Continued Participating in Other States |
08-04-2015 |
(OEI-06-12-00030) |
Not All States Reported Medicaid Managed Care Encounter Data as Required |
07-02-2015 |
(OEI-07-13-00120) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2015 |
06-30-2015 |
(OEI-05-15-00120) |
East Harlem Council for Human Services, Inc., Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant |
05-21-2015 |
(A-02-14-02021) |
Chase Brexton Health Care Complied With the Requirements of a Community Health Center Grant Funded Under the Affordable Care Act |
05-21-2015 |
(A-03-14-03303) |
Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin |
04-21-2015 |
(OEI-03-13-00650) |
Lone Star Circle of Care Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant |
04-07-2015 |
(A-06-14-00058) |
Ohio Did Not Always Comply With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud |
03-09-2015 |
(A-05-14-00008) |
Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities |
01-13-2015 |
(OEI-02-14-00070) |
States' Collection of Offset and Supplemental Medicaid Rebates |
12-12-2014 |
(OEI-03-12-00520) |
Minnesota Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud |
11-21-2014 |
(A-05-14-00009) |
Pennsylvania Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud |
06-25-2014 |
(A-03-14-00202) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2014 |
06-11-2014 |
(OEI-05-14-00170) |
Annual Fee on Branded Prescription Drug Companies Under the Affordable Care Act |
04-19-2014 |
(OEI-03-12-00560) |
Kentucky Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies |
02-05-2014 |
(A-04-13-06166) |
Review of Jersey City Early Retiree Reinsurance Program |
01-10-2014 |
(A-05-12-00039) |
Georgia Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies |
12-04-2013 |
A-04-12-06159 |
Arkansas Properly Reported the Affordable Care Act Portion of Medicaid Drug Rebates |
10-21-2013 |
(A-06-13-00034) |
Medicaid Drug Pricing in State Maximum Allowable Cost Programs |
08-29-2013 |
(OEI-03-11-00640) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2013 |
06-03-2013 |
(OEI-05-13-00090) |
Oversight of Private Health Insurance Submissions to the HealthCare.gov Plan Finder |
04-01-2013 |
(OEI-03-11-00560) |
The UAW Retiree Medical Benefits Trust Properly Claimed Early Retiree Reinsurance Program Reimbursements |
12-19-2012 |
(A-05-11-00108) |
The Chicago Regional Council of Carpenters Welfare Fund Properly Claimed Early Retiree Reinsurance Program Reimbursements |
12-19-2012 |
(A-05-11-00109) |
Criminal Convictions for Nurse Aides With Substantiated Findings of Abuse, Neglect, and Misappropriation |
10-05-2012 |
(OEI-07-10-00422) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2012 |
06-07-2012 |
(OEI-05-12-00060) |
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles |
05-26-2011 |
(OEI-05-10-00390) |
Centers for Disease Control and Prevention Did Not Meet Program Expansion Supplement Requirements for Awarding One Affordable Care Act Grant |
04-13-2012 |
(A-04-11-01003) |