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

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

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

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

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

558. 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

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

560. Connecticut implemented our prior audit recommendations and generally complied with federal and state requirements for reporting and monitoring critical incidents