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642. South Dakota MMIS and E&E system security controls were partially effective and improvements are needed

643. States face ongoing challenges in meeting third-party liability requirements for ensuring that Medicaid functions as the payer of last resort

646. The risk of misuse and diversion of buprenorphine for opioid use disorder in Medicare Part D continues to appear low: 2022

647. CMS can do more to leverage Medicare claims data to identify unreported incidents of potential abuse or neglect

648. The Food and Drug Administration needs to improve the premarket tobacco application review process for electronic nicotine delivery systems to protect public health

649. Pennsylvania implemented our prior audit recommendations for critical incidents involving Medicaid enrollees with developmental disabilities but should continue to take action to reduce unreported incidents

650. Louisiana should improve its oversight of nursing homes’ compliance with requirements that prohibit employment of individuals with disqualifying background checks