October 4, 2017

The Department of Health and Human Services Office of Inspector General (OIG) announced in June that it would update the work plan monthly, to enhance transparency.

In the September 15 update to the Work Plan, the new items posted are several examinations of Medicaid programs, including a review of five states to determine the extent to which Medicaid managed care plans include behavioral health providers and whether enough providers are available to meet the needs of the Medicaid population in those states.

OIG also will review Medicaid health home programs for compliance with federal and state requirements. OIG noted in the update that as of May 2017, the Centers for Medicare & Medicaid Services (CMS) approved Medicaid state plan amendments for 21 states and the District of Columbia for health home programs.

In addition, OIG will look at Medicare Part D sponsors’ reporting of direct and indirect remuneration (DIR) to determine whether Part D sponsors complied with Medicare DIR reporting requirements.