What's New

July 2026

07-15-2026

• Work Plan Monthly Update: July 2026

07-14-2026

• Advisory Opinion 26-16: Favorable opinion regarding a federally qualified health center’s provision of produce boxes and produce vouchers to a group of patients who have been diagnosed with certain health conditions.

• New Corporate Integrity Agreement: Advanced Pathology Solutions

07-13-2026

• Spring 2026 Semiannual Report to Congress

07-10-2026

• LEIE Database Updated with June 2026 Exclusions and Reinstatements

• Watch Now! This Week at HHS-OIG: July 10, 2026

• Updated: CMP and Affirmative Exclusions

07-08-2026

• Updated: Fraud Self-Disclosures

07-06-2026

• New York Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements A-02-24-01012

07-02-2026

• 2026 MFCU Recertification Letters Update
• Part D Plans Generally Include Drugs Commonly Used by Dual-Eligible Enrollees: 2026 OEI-05-26-00150
• Watch Now! This Week at HHS-OIG: July 3, 2026

07-01-2026

• 2026 MFCU Recertification Letters Update

June 2026

06-30-2026

• Florida Medicaid Fraud Control Unit: 2025 Inspection OEI-06-25-00150

• Advisory Opinion 26-15: Unfavorable opinion requested regarding a home health agency’s payment of remuneration to a vendor for the use of an online referral management software. manufacturer.

06-26-2026

• Watch Now! This Week at HHS-OIG: June 26, 2026

06-24-2026

• Consumer Alert: Cardiovascular Testing Scam

06-23-2026

• Medicare Could Have Saved $255.1 Million Related to Hospice Services for Certain New Hospice Enrollees A-06-22-09003
• 2026 Nationwide Health Care Fraud Takedown

06-18-2026

• CMS’s Processes Were Not Effective in Ensuring the Accuracy of Staffing Information Reported in the Payroll-Based Journal A-09-24-02005
• Watch Now! This Week at HHS-OIG: June 18, 2026
• North Dakota Could Better Ensure That Providers Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 44 Residential Settings A-07-24-04137

06-17-2026

• Updated: CMP and Affirmative Exclusions
• Jefferson Regional Medical Center Received at Least $4.7 Million in Medicare Overpayments A-04-22-07101

06-16-2026

• Inaccurate Medicaid Managed Care Provider Directories May Limit Enrollees’ Access to Maternal Health Care OEI-05-24-00090
• Inaccurate Medicaid Managed Care Network Lists May Compromise State Oversight of Access to Maternal Health Care OEI-05-24-00091

06-15-2026

• A Small Southeastern Hospital Had Effective Cybersecurity Controls To Prevent, Detect, and Respond To Cyberattacks OAS-25-18-033
• Advisory Opinion 26-14 : Favorable opinion regarding a program operated by a pharmaceutical manufacturer to sponsor antibody testing for eligible patients to determine whether it may be appropriate to
• Work Plan Monthly Update: June 2026

06-12-2026

• Watch Now! This Week at HHS-OIG: June 12, 2026
• Congressional Mandate: Part B Billing Codes for Six Drugs Included Noncovered Self-Administered Versions During January 2025 – March 2026 OEI-BL-26-00200

06-11-2026

• The Three Largest Medicare Advantage Organizations Denied Requests for Long-Term Acute Care and Inpatient Rehabilitation at Some of the Highest Rates OEI-09-24-00330
• New Corporate Integrity Agreement: Community Care Health Network LLC d/b/a Matrix Medical Network
• Community Behavioral Health Did Not Comply With Requirements When Denying Prior Authorization Requests A-03-24-00204
• Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials for Skilled Nursing Facility Admission, Raising Concerns About Initial Denials OEI-09-24-00331
• California Made at Least $13.9 Million More in Medicaid Reimbursements for Clinical Diagnostic Laboratory Services Than Was Allowed by Federal and State Requirements OAS-25-01-076

06-10-2026

• New Corporate Integrity Agreement: Tatyana Kolesnikova and Tatyanas Case Management, LLC
• LEIE Database Updated with May 2026 Exclusions and Reinstatements
• The Office of Refugee Resettlement Needs To Improve Its Monitoring of Unlicensed Unaccompanied Alien Children Program Care Providers’ Compliance With Background Check Requirements A-06-24-07001

06-09-2026

• Updated: Fraud Self-Disclosures
• Advisory Opinion 26-13 : Favorable opinion regarding an arrangement pursuant to which a pharmaceutical manufacturer provides free eye drops to mitigate ocular toxicity for patients using one of its pr

06-08-2026

• CMS Should Improve Its Policies and Procedures for the Oversight of States’ Reported Medicaid Expenditures to Better Protect the Financial Integrity of the Medicaid Program A-06-23-09006
• New Corporate Integrity Agreement: Family Health Care Associates, LLC

06-05-2026

• Watch Now! This Week at HHS-OIG: June 5, 2026
• Lehigh Valley Hospital Received At Least $17.8 Million in Medicare Overpayments A-03-23-00001

06-04-2026

• 2026 MFCU Recertification Letters Update

06-01-2026

• CMS Potentially Overpaid Medicare Advantage Organizations $462 Million Based on Certain Unsupported Acute Stroke Diagnosis Codes A-02-23-01020

May 2026

05-29-2026

• Watch Now! This Week at HHS-OIG: May 29, 2026
• Job Posting: Advice Associate and Senior Counsel (1+ positions - open until filled)

05-28-2026

• Advisory Opinion 26-12 : Favorable opinion regarding an orthopedic surgery provider’s proposed warranty program pursuant to which the orthopedic surgery provider would refund certain concierge fees to

05-22-2026

• Connecticut Did Not Always Ensure Selected Nursing Homes Complied With Federal and State Background Check Requirements OAS-25-01-035
• Watch Now! This Week at HHS-OIG: May 22, 2026

05-20-2026

• Advisory Opinion 26-11 : Favorable opinion regarding an arrangement pursuant to which a precision oncology company provides consenting patients a supplemental report at no cost in connection with a ca

05-19-2026

• Impacts of Vertical Integration in Medicare Part D on Sponsors’ Drug Costs, Pharmacy Reimbursement, and Enrollee Cost Sharing OEI-BL-24-00240

05-18-2026

• Advisory Opinion 26-10 : Unfavorable opinion regarding a proposed arrangement whereby an orthopedic medical technology company would enter into agreements with individuals—often physicians—who would p

05-15-2026

• Watch Now! This Week at HHS-OIG: May 15, 2026
• Work Plan Monthly Update: May 2026

05-14-2026

• Unclear Medicare Requirements Led to Differing Interpretations of Inpatient Rehabilitation Facility Documentation, Coverage, and Billing Requirements A-04-23-08096

05-11-2026

• WATCH: This Week at HHS-OIG: May 8, 2026

05-08-2026

• Utilization Trends and Medicare Part B Billing for Office-Based Peripheral Vascular Procedures Raise Questions About Program Integrity
• LEIE Database Updated with April 2026 Exclusions and Reinstatements
• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2025

05-07-2026

• Update: Fraud Self-Disclosures
• New Corporate Integrity Agreement: Recovery Center of USA LLC

05-05-2026

• New Corporate Integrity Agreement: Modern Nuclear, Inc.

05-01-2026

• Advisory Opinion 26-08 : Favorable opinion regarding a proposal to enter into certain lease arrangements to create a centralized location for providing a range of items and services to patients with h
• Advisory Opinion 26-09 : Favorable opinion regarding a pediatric dental and orthodontic services provider’s proposal to provide free, comprehensive orthodontic treatment to one of its existing patient

April 2026

04-30-2026

• Most Nursing Homes Throughout the United States Do Not Have Adequate or Reliable Emergency Power Systems A-02-23-01022

04-28-2026

• Updated Fraud Risk and Heightened Scrutiny: FY 2026 Q1-Q2
• CMS Could Strengthen Medicare Program Safeguards To Prevent and Detect Potentially Improper Payments for Virtual Check-in and E-visit Services A-05-23-00001

04-27-2026

• Medicare Payments for Positive Airway Pressure Devices Used for the Treatment of Obstructive Sleep Apnea Generally Complied With Medicare Requirements A-05-21-00036

04-23-2026

• OIG updates its FAQs: On our General Questions Regarding Certain Fraud and Abuse Authorities FAQs page we revised FAQ 4 and added new FAQ 17 . On our Advisory Opinions FAQs page we added an additional

04-20-2026

• CMS Has Limited Oversight of Selected Compounded Drugs Prescribed to Medicare Part D Enrollees A-05-21-00008

04-17-2026

• Attorney - Advisor (2 positions - open until filled)
• Advisory Opinion 26-07: Favorable opinion regarding a proposal by an entity and its Medicare Advantage subsidiaries that offer Employer Group Waiver Plans to share a percentage of their savings with c

04-15-2026

• Updated: Work Plan Recently Added
• Updated: Fraud Self-Disclosures

04-10-2026

• Advisory Opinion 26-06: Favorable opinion regarding a State-designated domestic crisis provider’s proposal to bill Federal health care programs for therapy services furnished by Requestor’s employed m
• Updated Corporate Integrity Agreements: 1 New CIA
• LEIE Database Updated with March 2026 Exclusions and Reinstatements

04-08-2026

• 2026 Fall OIG Health Care Fraud and Abuse Legal Internship Announcement (closes May 1, 2026)

04-03-2026

• Louisiana Healthcare Connections Generally Complied With Federal and State Process Requirements When Denying Prior Authorization Requests A-06-24-02000
• OIG Budget
• Budget Archives
• Vibrent Health Claimed Unallowable Costs Under a National Institutes of Health Other Transaction Award A-04-24-02049

04-02-2026

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Priority Health (Contract H2320) Submitted to CMS A-07-22-01208

March 2026

03-30-2026

• Medicare Home Health Agency Provider Compliance Audit: VNS Health A-02-22-01023

03-27-2026

• Selected Diabetes and Weight Loss Drugs Were Dispensed to Michigan Medicaid Managed Care Enrollees in Accordance With Federal and State Requirements OAS-25-05-067

03-26-2026

• Congressional Mandate: Part B Payment Amounts for One Drug Included Noncovered Self-Administered Versions in 2024 OEI-BL-25-00110

03-25-2026

• Review of the Department of Health and Human Services’ Compliance With the Federal Information Security Modernization Act of 2014 for Fiscal Year 2025 OAS-25-18-041

03-20-2026

• Medicaid Fraud Control Units Annual Report: Fiscal Year 2025 OEI-09-26-00140

03-19-2026

• Indiana Generally Ensured That Selected Nursing Homes Complied With Federal Background Check Requirements A-05-24-00011
• Nursing Homes’ Inappropriate Use of Antipsychotic Drugs Poses a Risk to Residents OEI-02-23-00200
• Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs OEI-02-23-00201

03-17-2026

• Findings of Whistleblower Retaliation by District of Columbia Inspector General Management Official Over Medicaid Fraud Control Unit

03-16-2026

• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Gateway Health Plan, Inc., (Contract H5932) Submitted to CMS A-03-22-00004
• Updated Corporate Integrity Agreements: 1 New CIA
• Advisory Opinion 26-05 : Favorable opinion regarding a proposal to subsidize certain cost-sharing obligations in the context of a clinical trial.
• Updated: Work Plan Recently Added

03-13-2026

• Updated Heightened Scrutiny: Aetna, Inc.

03-12-2026

• New Executive Job Announcement: Deputy Inspector General for Audit Services
• Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Blue Cross and Blue Shield of Alabama (Contract H0104) Submitted to CMS A-07-22-01207

03-11-2026

• Grant and Contractor Fraud Self-Disclosures - January 2026 update
• Fraud Self-Disclosures - February 2026 updates
• Psychosocial Characteristics and Their Association With Kidney Transplant Programs Waitlist Rates OEI-01-23-00293

03-10-2026

• LEIE Database Updated with February 2026 Exclusions and Reinstatements
• Emergency Department Procedure Codes Used on Medicare Claims for Services Billed With Nonemergency Department Sites of Service Resulted in Over $15 Million in Improper and Potentially Improper Payment

03-09-2026

• Advisory Opinion 26-04 : Favorable opinion regarding the transfer of ownership interests by the sole shareholder of a Medicare certified ambulatory surgical center in anticipation of his retirement fr
• Advisory Opinion 26-03 : Favorable opinion regarding a medical technology manufacturer and distributor’s proposal to offer to certain ambulatory surgery centers a discount on intraocular lenses and ot

03-02-2026

• Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children A-09-24-02004

February 2026

02-27-2026

• Food and Drug Administration Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Requir
• National Institutes of Health Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Requi
• Centers for Disease Control and Prevention Fiscal Year 2025 Detailed Accounting Submission and Fiscal Year 2027 Budget Formulation Compliance Report for National Drug Control Activities, and the Accom

02-26-2026

• Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care OEI-07-23-00480
• Sarasota Memorial Hospital Received At Least $12.1 Million in Medicare Overpayments A-04-23-08098

02-25-2026

• CMP and Affirmative Exclusions - December 2025 update
• CMP and Affirmative Exclusions, EMTALA/Patient Dumping - February 2026 updates

02-23-2026

• Fourteen of Thirty Selected Indian Health Service and Rural Providers Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Paym
• Office of Inspector General’s Partnership With the Office of the Utah Inspector General: Inspector General’s Report Audit of Capitation Payments Made Concurrently With Another State A-07-23-05136

02-20-2026

• Medicare Home Health Agency Provider Compliance Audit: Alternate Solutions Homecare of Dayton A-05-24-00014
• New York Should Improve Its Monitoring of Low-Income Home Energy Assistance Program Subrecipients A-02-23-02005

02-18-2026

• Advisory Opinion 26-02: Favorable opinion regarding a proposal from an entity that manages urgent care centers to operate a laboratory that would provide services to patients of the urgent care center

02-17-2026

• Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2025 OEI-03-26-00040
• Updated Work Plan

02-13-2026

• Missouri Did Not Obtain Millions of Dollars in Rebates for Medicaid Physician-Administered and Pharmacy Drugs A-07-23-06113
• Updated Corporate Integrity Agreements: 1 New CIA

02-12-2026

• ACF's $529 Million Sole Source Contract Award for Unaccompanied Alien Children Services Was Based on an Unsolicited Proposal, Double the Cost Estimate, and Noncompliant with Pre-Award Requirements A-0
• West Virginia Did Not Obtain Rebates Associated With Millions of Dollars in Medicaid Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-07-24-06116

02-10-2026

• LEIE Database Updated with January 2026 Exclusions and Reinstatements
• Job Posting: Office of Counsel to the Inspector General

02-06-2026

• Updated: CMP and Affirmative Exclusions, EMTALA/Patient Dumping
• Updated: Fraud Self-Disclosures

02-05-2026

• Philadelphia Did Not Meet All of the Requirements for the COVID-19 Screening Testing Program at K-12 Schools

02-04-2026

• ACF Can Improve Services to Homeless Youth by Strengthening Grant Recipients’ Compliance With Transitional Living Program Requirements A-06-23-07001

02-03-2026

• NEW: Medicare Advantage Industry Segment-Specific Compliance Program Guidance (ICPG)

02-02-2026

• Updated Fraud Risk and Heightened Scrutiny: FY 2026 Q1
• A Large Southeastern Hospital Could Improve Certain Security Controls to Enhance Its Ability to Prevent and Detect Cyberattacks A-18-22-08021

January 2026

01-28-2026

• Audit of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2024 OAS-25-18-064
• Total Medicare Part B Spending on Lab Tests Rose in 2024, Driven by Increased Spending on Genetic Tests OEI-09-25-00330

01-27-2026

• Special Advisory Bulletin: Application of the Federal Anti-Kickback Statute to Direct-to-Consumer Prescription Drug Sales by Manufacturers to Patients With Federal Health Care Program Coverage
• Medicare and State Health Care Programs: Fraud and Abuse; Request for Information Regarding the Federal Anti-Kickback Statute and Beneficiary Inducements CMP

01-22-2026

• Press Release: HHS-OIG Audit Finds Maine Made At Least $45.6 Million in Improper Medicaid Payments for Autism Services
• Maine Made at Least $45.6 Million in Improper Fee-for-Service Medicaid Payments for Rehabilitative and Community Support Services Provided to Children Diagnosed With Autism A-01-24-00006

01-21-2026

• At A Glance: Fall 2025 Semiannual Report to Congress
• Video: HHS-OIG Advisory Opinion Process | Five Things You Need to Know
• Impact Brief: Saving Taxpayer Dollars in Fiscal Year 2025
• Fall 2025 Semiannual Report to Congress

01-20-2026

• 2025 Top Management & Performance Challenges Facing HHS

01-16-2026

• Advisory Opinion 26-01: Favorable opinion regarding a proposal by a manufacturer of a clinical laboratory test for colorectal cancer screening to waive any applicable cost sharing for certain commerci

01-15-2026

• Updated: CMP and Affirmative Exclusions
• Updated: COVID-19

01-13-2026

• Updated: Fraud Self-Disclosures

01-09-2026

• LEIE Database Updated with December 2025 Exclusions and Reinstatements

01-08-2026

• Updated Corporate Integrity Agreements: 1 New CIA

01-07-2026

• Advisory Opinion 25-12 Unfavorable opinion regarding a proposal for a home care agency to market sign-on bonuses to prospective employees with the intention of employing those individuals for the prov

01-06-2026

• Essence Healthcare, Inc., Did Not Comply With Federal Requirement for Reporting Direct and Indirect Remunerations for Contract Years 2017 Through 2020 A-03-22-00002