Recommendations Tracker
HHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. To drive this positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations.
Use the Top Unimplemented View below to read OIG's Top Unimplemented Recommendations. In OIG’s view, these top recommendations for HHS programs, if implemented, would have the greatest impact in terms of cost savings, program effectiveness and efficiency, and public health and safety. Learn more
Summary of All Recommendations
Updated Monthly · Last updated on March 16, 2026
1,142
Unimplemented
recommendations
3,267
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
Showing 1–20 of 1,372 reports, containing 4,409 recommendations
Sorted by latest release date
-
Sarasota Memorial Hospital Received At Least $12.1 Million in Medicare Overpayments
26-A-04-049.01We recommend that the Hospital refund to the Federal government the estimated $12,199,717 in net overpayments for incorrectly billed claims, excluding amounts presumed to be unrecoverable under the Section 1870 waiver of liability provision.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $12,199,717
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-04-049.02We recommend that the Hospital consider conducting one or more internal audits or investigations for claims beyond our audit period, based on the risks identified by this audit, to identify any similar overpayments and return any identified overpayments to the Medicare program.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-04-049.03We recommend that the Hospital provide additional training to clinical and billing personnel on its policies and procedures related to the following: The Two-Midnight Rule; The medical necessity of inpatient and outpatient services; IRF admissions; The billing of services provided; Inpatient and outpatient coding.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
-
Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children
26-A-09-050.01We recommend that the Colorado Department of Health Care Policy and Financing refund $42,649,438 (Federal share) to the Federal Government for FFS Medicaid ABA payments that did not comply with Federal and State requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $42,649,438
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-09-050.02We recommend that the Colorado Department of Health Care Policy and Financing provide additional guidance to ABA facilities on: (1) documenting ABA, including services that must be provided to support the use of CPT code 97155, signature requirements, and the information needed in session notes to support ABA provided. (2) billing ABA, including what the State agency considers billable ABA time; and (3) credentialing requirements for ABA providers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-09-050.03We recommend that the Colorado Department of Health Care Policy and Financing periodically perform a statewide postpayment review of Medicaid ABA payments, including reviewing medical records, to educate providers on Federal and State requirements related to documentation and provider credentialing and to recover payments that did not comply with Federal and State requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-09-050.04We recommend that the Colorado Department of Health Care Policy and Financing periodically review its prior authorization contractor's procedures for verifying ABA facilities' compliance with requirements for State diagnostic evaluations and treatment referrals for ABA.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
26-A-09-050.05We recommend that the Colorado Department of Health Care Policy and Financing exercise reasonable diligence to review and determine whether any of the estimated $112,542,978 (Federal share) in potentially improper ABA payments complied with Federal and State requirements and refund the Federal share of any improper payment amount to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/24/2026
- Legislative Related
- No
-
Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care
26-E-07-013.01ACF should support Alaska in improving compliance with Federal and State requirements related to children who go missing or run away from foster care.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/22/2026
- Legislative Related
- No
26-E-07-013.02ACF should develop resources for Alaska, and other States as appropriate, on working with Tribes to support children in foster care.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/22/2026
- Legislative Related
- No
26-E-07-013.03ACF should support Alaska, and other States as appropriate, to improve States' abilities to accurately track children's whereabouts.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/22/2026
- Legislative Related
- No
-
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 Payments
26-A-09-042.01We recommend that HRSA require the 12 providers that we determined as having used PRF payments for unallowable expenditures totaling $70,590,911 to return the unallowable amounts to the Federal Government or ensure that the providers properly replace the unallowable expenditures with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $70,590,911
- Last Update Received
- -
- Next Update Expected
- 08/19/2026
- Legislative Related
- No
26-A-09-042.02We recommend that HRSA require the two providers that we determined as having inaccurately calculated and reported lost revenues totaling $19,709,036 to identify and return to the Federal Government any PRF payments inappropriately used to offset lost revenues or replace the amounts with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $19,709,036
- Last Update Received
- -
- Next Update Expected
- 08/19/2026
- Legislative Related
- No
26-A-09-042.03We recommend that HRSA work with the two providers that we identified as having used PRF payments totaling $382,656 for expenditures that may have been unallowable to determine which amounts should have been allocated and require the providers to return unallowable amounts to the Federal Government or ensure that the providers properly replace these unallowable expenditures with unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/19/2026
- Legislative Related
- No
-
Medicare Home Health Agency Provider Compliance Audit: Alternate Solutions Homecare of Dayton
26-A-05-041.01We recommend that Alternate Solutions refund the $940 overpayment to the Medicare program.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $940
- Last Update Received
- -
- Next Update Expected
- 08/18/2026
- Legislative Related
- No
26-A-05-041.02We recommend that Alternate Solutions consider conducting one or more internal audits or investigations for claims after our audit period, based on the risks identified by this audit, to identify any similar overpayments the provider might have received and return any identified overpayments to the Medicare program.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/18/2026
- Legislative Related
- No
-
New York Should Improve Its Monitoring of Low-Income Home Energy Assistance Program Subrecipients
26-A-02-040.01We recommend that New York State Office of Temporary and Disability Assistance work with subrecipients to determine the allowability of the $197 million in lump-sum payments for LIHEAP expenses and return funds for unsupported expenses to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- $197,394,162
- Last Update Received
- -
- Next Update Expected
- 08/17/2026
- Legislative Related
- No
26-A-02-040.02We recommend that the New York State Office of Temporary and Disability Assistance implement procedures to monitor subrecipient expenses, including lump-sum reimbursements.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/17/2026
- Legislative Related
- No
-
Missouri Did Not Obtain Millions of Dollars in Rebates for Medicaid Physician-Administered and Pharmacy Drugs
26-A-07-039.01We recommend that the Missouri Department of Social Services refund to the Federal Government $9,510,305 (Federal share) for claims for singlesource physician-administered drugs that were ineligible for Federal reimbursement.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $9,510,305
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
26-A-07-039.02We recommend that the Missouri Department of Social Services refund to the Federal Government $204,564 (Federal share) for claims for top-20 multiple-source physician-administered drugs that were ineligible for Federal reimbursement.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $204,564
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
26-A-07-039.03We recommend that the Missouri Department of Social Services work with CMS to determine the unallowable portion of $165,783 (Federal share) for claims for other physician-administered drugs that may have been required to be invoiced, and invoice drug manufacturers for rebates for those drugs.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $165,783
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
26-A-07-039.04We recommend that the Missouri Department of Social Services obtain rebates for the pharmacy drugs totaling $2,478,099 (Federal share), which had not previously been invoiced for rebate, and refund the Federal share.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $2,478,099
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
26-A-07-039.05We recommend that the Missouri Department of Social Services work with CMS to resolve all of the recommendations made in our previous audit report.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
26-A-07-039.06We recommend that the Missouri Department of Social Services strengthen internal controls to ensure that all pharmacy and physician-administered drugs eligible for rebates are invoiced.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/10/2026
- Legislative Related
- No
-
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
26-A-03-037.01We recommend that the Administration for Children and Families use the information in this report to promote better contract planning and efficient use of resources to ensure sufficient capacity to serve the UAC population during periods of increased need.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/09/2026
- Legislative Related
- No
-
West Virginia Did Not Obtain Rebates Associated With Millions of Dollars in Medicaid Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
26-A-07-038.01We recommend that the West Virginia Bureau for Medical Services refund to the Federal Government $6,055,786 (Federal share) for claims for single-source physician-administered drugs that were ineligible for Federal reimbursement.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $6,055,786
- Last Update Received
- -
- Next Update Expected
- 08/09/2026
- Legislative Related
- No
26-A-07-038.02We recommend that the West Virginia Bureau for Medical Services refund to the Federal Government $22,718 (Federal share) for claims for top-20 multiple-source physician-administered drugs that were ineligible for Federal reimbursement.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $22,718
- Last Update Received
- -
- Next Update Expected
- 08/09/2026
- Legislative Related
- No
-
Philadelphia Did Not Meet All of the Requirements for the COVID-19 Screening Testing Program at K-12 Schools
26-A-05-036.01We recommend that the Philadelphia Department of Public Health develop or update ELC procedures for compliance with Federal, subrecipient, and contract requirements, including: oversight of subrecipients to ensure background check requirements are followed and monitoring of subrecipients' contract terms and conditions.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 08/03/2026
- Legislative Related
- No
26-A-05-036.02We recommend that the Philadelphia Department of Public Health refund CDC $257,620 for costs reimbursed to the subrecipient that were unallowable or were overpayments.- Status
- Open Unimplemented
- Responsible Agency
- CDC
- Response
- Not Yet Due
- Potential Savings
- $257,620
- Last Update Received
- -
- Next Update Expected
- 08/03/2026
- Legislative Related
- No
-
ACF Can Improve Services to Homeless Youth by Strengthening Grant Recipients’ Compliance With Transitional Living Program Requirements
26-A-06-034.01We recommend that the Administration for Children and Families create guidance and provide technical assistance for TLP grant recipients related to: documenting required services in homeless youth case files, documenting required services in homeless youth case files that allows for continuity even when employees change jobs, ensuring required services are provided, and maintaining separate case files for children or infants of parenting youth.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/29/2026
- Legislative Related
- No
-
A Large Southeastern Hospital Could Improve Certain Security Controls to Enhance Its Ability to Prevent and Detect Cyberattacks
26-A-18-035.01We recommend that the Entity implement strong user identification and authentication controls for the account management web application we exploited.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/29/2026
- Legislative Related
- No
26-A-18-035.02We recommend that the Entity periodically assess and update user identification and authentication controls across the Entity's systems, including internet-accessible websites and applications.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/29/2026
- Legislative Related
- No
26-A-18-035.03We recommend that the Entity assess all web applications to determine whether any need an automated technical solution (e.g., a web-application firewall) implemented as an extra layer of security to detect and block malicious web traffic and attempts to exploit web application vulnerabilities.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/29/2026
- Legislative Related
- No
26-A-18-035.04We recommend that the Entity utilize a wider array of security testing tools and techniques to better detect vulnerabilities in applications before updating production systems, such as dynamic application testing tools, static application testing tools, and manual, interactive testing, as part of its security testing process prior to deploying updates to internet-accessible production systems.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/29/2026
- Legislative Related
- No
-
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
26-A-01-033.01We recommend that the Maine Department of Health and Human Services refund $28,796,366 (Federal share) to the Federal Government for Fee-for-Serivce Medicaid payments for rehabilitative and community support services that did not comply with Federal and State requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $28,796,366
- Last Update Received
- -
- Next Update Expected
- 07/15/2026
- Legislative Related
- No
26-A-01-033.02We recommended that the Maine Department of Health and Human Services exercise reasonable diligence to review and determine whether any of the estimated ($14,163,521 Federal share) in potentially improper payments for RCS services did not comply Maine's FFS Medicaid Payments for Rehabilitative and Community Support Services with Federal and State requirements and refund the Federal share of any improper payment amount to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/15/2026
- Legislative Related
- No
26-A-01-033.03We recommend that the Maine Department of Health and Human Services provide additional guidance to providers about how to document RCS services, including the information needed in session notes to support RCS services provided, billable RCS service time, and signature requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/15/2026
- Legislative Related
- No
26-A-01-033.04We recommend that the Maine Department of Health and Human Services periodically conduct a statewide postpayment review of Medicaid payments for RCS services, including reviewing medical records, and provide additional training in the areas in which errors were identified by postpayment reviews.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 07/15/2026
- Legislative Related
- No
-
Medicaid Agencies Made Millions in Unallowable Capitation Payments to Managed Care Organizations on Behalf of Deceased Enrollees
26-A-04-031.01We recommend that the Centers for Medicare & Medicaid Services provide the Medicaid agencies covered by our audit with our matched T-MSIS data so that the Medicaid agencies can review the capitation payments and take appropriate action to recover any unallowable payments made on behalf of enrollees whose date of death preceded the monthly service period and not already recovered during their normal review process, which could result in the Medicaid agencies recovering unallowable payments made during our audit period.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/21/2026
- Legislative Related
- No
26-A-04-031.02We recommend that the Centers for Medicare & Medicaid Services explore opportunities to work with Medicaid agencies to ensure that the related provisions of the One Big Beautiful Bill Act (OBBB Act) are properly implemented. This effort could result in annual estimated savings of $207,501,380 ($138,645,710 Federal share).- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $138,645,710
- Last Update Received
- -
- Next Update Expected
- 06/21/2026
- Legislative Related
- No
-
Illinois Made Unallowable Managed Care Capitation Payments on Behalf of Incarcerated Medicaid Enrollees
26-A-05-028.01We recommended that the Illinois Department of Healthcare and Family Services refund $8,366,521 (Federal share) for unallowable capitation payments made on behalf of incarcerated Medicaid enrollees.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $8,366,521
- Last Update Received
- 03/12/2026
- Next Update Expected
- 09/13/2026
- Legislative Related
- No
26-A-05-028.02We recommended that the Illinois Department of Healthcare and Family Services expand its automated process that terminates managed care enrollment to include inmates housed in a non-Illinois Department of Corrections facility.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/13/2026
- Legislative Related
- No
-
Nine of Thirty Selected Assisted Living Facilities Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments
26-A-02-027.01We recommend that the Health Resources and Services Administration require the seven ALFs that we determined as having used PRF payments for unallowable expenditures totaling $283,000 to return the unallowable amounts to the Federal Government or ensure that the ALFs properly replace the unallowable expenditures with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- $282,676
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
26-A-02-027.02We recommend that the Health Resources and Services Administration require the two ALFs that we determined as having inaccurately calculated and reported lost revenues totaling $11 million to identify and return to the Federal Government any PRF payments used to offset inaccurately calculated lost revenues or replace them with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- $11,009,668
- Last Update Received
- -
- Next Update Expected
- Legislative Related
- No
-
Some Selected Health Centers Received Duplicate Reimbursement From HRSA For COVID-19 Testing Services
26-A-02-026.01We recommend that the Health Resources and Services Administration require the 12 health centers that charged unallowable COVID-19 supplemental grant costs to refund $313,270 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $313,270
- Last Update Received
- -
- Next Update Expected
- 06/15/2026
- Legislative Related
- No
26-A-02-026.02We recommend that the Health Resources and Services Administration reiterate guidance to these 12 health centers for developing and maintaining financial management systems and internal controls that ensure that only allowable and allocable costs are charged to future HRSA programs similar in nature.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/15/2026
- Legislative Related
- No
-
Medicare Home Health Agency Provider Compliance Audit: Guardian Home Care, LLC
26-A-07-025.01We recommend that Guardian Home Care, LLC refund the $1,690 in overpayments to the Medicare program.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $1,690
- Last Update Received
- -
- Next Update Expected
- 06/14/2026
- Legislative Related
- No
26-A-07-025.02We recommend that Guardian Home Care, LLC consider conducting one or more internal audits or investigations for claims after our audit period, based on the risks identified by this audit, to identify any similar overpayments that Guardian Home Care might have received and return any identified overpayments to the Medicare program.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/14/2026
- Legislative Related
- No
-
Oklahoma Medicaid Fraud Control Unit: 2025 Inspection
26-E-07-010.01Update its policies and procedures manual to address certain aspects of its operations.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.02Build upon its efforts to increase the volume and quality of fraud referrals from the PIU and MCOs.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.03Take steps to mitigate investigative delays.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.04Take steps to implement a case management system capable of efficiently managing and reporting case information and performance data.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.05Take steps to conduct and document periodic supervisory reviews of cases in accordance with Unit policy.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.06Take steps to ensure that it reports all convictions and adverse actions to Federal partners within the appropriate timeframes.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
26-E-07-010.07Revise its MOU with the State Medicaid agency to reference the CMS Performance Standard for Referrals.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/11/2026
- Legislative Related
- No
-
New Jersey Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements
26-A-02-024.01We recommend that the New Jersey Department of Health strengthen its monitoring activities to ensure that nursing homes comply with requirements that prohibit the employment of individuals with disqualifying backgrounds, such as expanding the timeframe covered by recertification surveys.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/10/2026
- Legislative Related
- No
26-A-02-024.02We recommend that the New Jersey Department of Health provide guidance to nursing homes on implementing adequate procedures to ensure background checks are completed on all direct hire and contracted staff members prior to starting work in the nursing home in accordance with applicable requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 06/10/2026
- Legislative Related
- No