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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—a subset that we think, if implemented, would have the most impact (learn more). Notable differences from our previous Top Unimplemented Recommendations report include:
- The list is comprised of individual recommendations from OIG reports, not rolled up by topic.
- No arbitrary cap is imposed on the number of recommendations included.
- Status updates as recommendations are implemented.
Summary of All Recommendations
Updated Monthly · Last updated on November 15, 2024
1,310
Unimplemented
recommendations
2,698
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
Showing 1–20 of 1,223 reports, containing 4,008 recommendations
Sorted by latest release date
-
Maine Did Not Comply With Screening, Assessment, and Investigation Requirements for Responding to Reports of Child Abuse and Neglect
25-A-01-009.01We recommend that the Maine Department of Health and Human Services, Office of Child and Family Services provide additional training to caseworkers and supervisors as appropriate, to achieve compliance with requirements for the immediate screening, risk and safety assessment, and investigation of reports of child abuse and neglect.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/06/2025
- Legislative Related
- No
25-A-01-009.02We recommend that the Maine Department of Health and Human Services, Office of Child and Family Services develop written policies and procedures that require its supervisors to review and approve documentation of caseworker interviews with children and adults.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/06/2025
- Legislative Related
- No
25-A-01-009.03We recommend that the Maine Department of Health and Human Services, Office of Child and Family Services develop written policies and procedures that require its supervisors to monitor aging reports on a weekly basis to promptly identify delays in the investigation process.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/06/2025
- Legislative Related
- No
25-A-01-009.04We recommend that the Maine Department of Health and Human Services, Office of Child and Family Services develop written policies and procedures that outline the steps a caseworker must take to override a report from screened-out to screened-in and manually input a response time.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/06/2025
- Legislative Related
- No
25-A-01-009.05We recommend that the Maine Department of Health and Human Services, Office of Child and Family Services develop written policies and procedures that requires supporting documentation to be maintained within Katahdin to demonstrate that written notification letters were sent.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/06/2025
- Legislative Related
- No
-
Not All Selected Hospitals Complied With the Hospital Price Transparency Rule
25-A-07-008.01We recommend that the Centers for Medicare & Medicaid Services review noncompliant hospitals associated with our findings and, if CMS determines that the hospitals are noncompliant, execute CMS's enforcement measures, to include issuing warning notices, corrective action plans, and/or civil monetary penalties as applicable.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/04/2025
- Legislative Related
- No
25-A-07-008.02We recommend that the Centers for Medicare & Medicaid Services use the information in this report and consider implementing changes suggested by hospitals, including providing written guidance clarifying the definition of "shoppable services" and developing a training and compliance program that is tailored for smaller hospitals.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/04/2025
- Legislative Related
- No
25-A-07-008.03We recommend that the Centers for Medicare & Medicaid Services continue to strengthen its internal controls, to include allocating sufficient resources to maintain a robust program of reviews of the hospitals and their compliance with the HPT rule.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 05/04/2025
- Legislative Related
- No
-
National Government Services, Inc., Reopened and Corrected Cost Report Final Settlements With Obvious Errors To Collect Overpayments Made to Medicare Providers
25-A-06-007.01We recommend that National Government Services, Inc. develop and deliver additional education to auditors and audit supervisors regarding applicable criteria and review requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/27/2025
- Legislative Related
- No
25-A-06-007.02We recommend that National Government Services, Inc. develop and implement enhanced procedures so that supervisors are better qualified to detect incorrect audit adjustments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/27/2025
- Legislative Related
- No
-
Massachusetts Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Emergency Preparedness
25-A-01-004.01We recommend that the Massachusetts Department of Public Health follow up with the two ICF/IIDs to verify that they have taken corrective actions on the life safety and emergency preparedness deficiencies identified during the audit.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
25-A-01-004.02We recommend that the Massachusetts Department of Public Health work with CMS to develop standardized life safety training for ICF/IID staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
-
California Used CARES Act Funds for Unallowable Nutrition Services Program Expenditures
25-A-06-005.01We recommend that the California Department of Aging refund the estimated $1,087,459 of CARES Act funds that were not in compliance with Federal and State requirements.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- $1,087,459
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
25-A-06-005.02We recommend that the California Department of Aging work with ACL to determine the allowability of the estimated $2,484,631 in local service provider expenses and refund any amount determined to be unallowable.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- $2,484,631
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
25-A-06-005.03We recommend that the California Department of Aging clarify in the Standard Agreement that AAAs review local service provider expenses to ensure they are documented and supported.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
25-A-06-005.04We recommend that the California Department of Aging update procedures to include approving advanced payments as close as administratively feasible to when the AAAs will expend the funds.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/22/2025
- Legislative Related
- No
-
Medicare Advantage: Questionable Use of Health Risk Assessments Continues To Drive Up Payments to Plans by Billions
25-E-03-003.01CMS should impose additional restrictions on the use of diagnoses reported only on in-home HRAs or chart reviews that are linked to in-home HRAs for risk-adjusted payments. While there are general requirements and oversight in place for the MA risk adjustment payment.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/20/2025
- Legislative Related
- No
25-E-03-003.02CMS should conduct audits to validate diagnoses reported only on in-home HRAs and HRA-linked chart reviews.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/20/2025
- Legislative Related
- No
25-E-03-003.03CMS should determine whether select HCCs that drove payments from in-home HRAs and HRA-linked chart reviews may be more susceptible to misuse among MA companies.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/20/2025
- Legislative Related
- No
-
Medicare Part D Paid Millions for Drugs for Which Payment Was Available Under the Medicare Part A Skilled Nursing Facility Benefit
25-A-09-003.01We recommend that the Centers for Medicare & Medicaid Services work with its plan sponsors to adjust or delete PDEs, as necessary, and determine the impact to the Federal Government related to the Medicare Part D total costs of $953,370 for drugs associated with our sample items for which payment was available under the Medicare Part A SNF benefit, which included $541,652 for drugs that were administered during Part D enrollees' Part A SNF stays.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $953,370
- Last Update Received
- -
- Next Update Expected
- 04/17/2025
- Legislative Related
- No
25-A-09-003.02We recommend that the Centers for Medicare & Medicaid Services work with its plan sponsors to identify similar instances of noncompliance that occurred during our audit period and determine the impact to the Federal Government, which could have amounted up to an estimated $465,077,908 in Part D total cost, including $245,365,324 for drugs that were administered during enrollees' Part A SNF stays.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $465,077,908
- Last Update Received
- -
- Next Update Expected
- 04/17/2025
- Legislative Related
- No
25-A-09-003.03We recommend that the Centers for Medicare & Medicaid Services work with its plan sponsors to identify similar instances of noncompliance that occurred before and after our audit period and determine the impact to the Federal Government related to Part D total costs for drugs for which payment was available under the Medicare Part A SNF benefit.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/17/2025
- Legislative Related
- No
25-A-09-003.04We recommend that the Centers for Medicare & Medicaid Services provide plan sponsors with timely and accurate information, such as dates of covered Part A SNF stays, to reduce instances of inappropriate Part D payment for drugs for which payment is available under the Part A SNF benefit.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/17/2025
- Legislative Related
- No
25-A-09-003.05We recommend that the Centers for Medicare & Medicaid Services instruct SNFs to cooperate with plan sponsors to identify and prevent improper Part D payments for drugs for which payment was available under the Part A SNF benefit.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/17/2025
- Legislative Related
- No
-
Massachusetts Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
25-A-01-002.01We recommend that the Massachusetts Department of Public Health follow up with the 20 nursing homes reviewed in this audit that demonstrated life safety, emergency preparedness, and infection control deficiencies to ensure that they have taken corrective actions.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/03/2025
- Legislative Related
- No
25-A-01-002.02We recommend that the Massachusetts Department of Public Health work with CMS to develop a risk-based approach to identify nursing homes at which surveys should be conducted more frequently than once every 15 months, such as those with a history of multiple high-risk deficiencies or frequent management turnover.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/03/2025
- Legislative Related
- No
25-A-01-002.03We recommend that the Massachusetts Department of Public Health work with CMS to develop a plan to address the foundational issues preventing more frequent surveys at nursing homes with a history of multiple high-risk deficiencies.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/03/2025
- Legislative Related
- No
25-A-01-002.04We recommend that the Massachusetts Department of Public health work with CMS to develop standardized life safety training for nursing home staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/03/2025
- Legislative Related
- No
-
HHS Continues to Make Progress Toward Compliance With the Geospatial Data Act
25-A-18-001.01We recommend that the Department of Health and Human Services fulfill the remaining seven covered agency responsibilities established in GDA section 759(a).- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/01/2025
- Legislative Related
- No
25-A-18-001.02We recommend that the Department of Health and Human Services ensure that the HHS Office of the Chief Data Officer oversees, coordinates, and facilitates HHS's implementation of geospatial-related requirements, policies, and activities.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/01/2025
- Legislative Related
- No
25-A-18-001.03We recommend that the Department of Health and Human Services develop and maintain an inventory of all geospatial data assets in accordance with section 759(b) of the GDA.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/01/2025
- Legislative Related
- No
25-A-18-001.04We recommend that the Department of Health and Human Services prepare the required annual reports regarding the achievements of the covered agency in preparing and implementing the strategic plan for the National Spatial Data Infrastructure (section 759(a)(1)) and complying with the other requirements in section 759(a).- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 04/01/2025
- Legislative Related
- No
-
States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
24-E-05-046.01CMS should take steps to confirm that all States cover required services from maternal health providers for Medicaid managed care enrollees.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/26/2025
- Legislative Related
- No
24-E-05-046.02CMS should clarify the requirement that States have a provider-specific OB/GYN network adequacy standard.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/26/2025
- Legislative Related
- No
24-E-05-046.03CMS should support States in tailoring their network adequacy standards to better address maternal health care needs.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/26/2025
- Legislative Related
- No
-
Medicare Advantage Compliance Audit of Diagnosis Codes That EmblemHealth (Contract H3330) Submitted to CMS
24-A-06-109.01We recommend that EmblemHealth refund to the Federal Government the $551,917 of net overpayments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $551,917
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
24-A-06-109.02We recommend that EmblemHealth continue to ensure that its policies and procedures have been adequately designed and implemented to prevent, detect, and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
-
Gallup Indian Medical Center—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff
24-A-02-110.01We recommend that the Indian Health Service work with Gallup Indian Medical Center and the Navajo Area Office to take action to complete background investigations, including adjudication, for staff members identified in this report as not having a satisfactory background investigation.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
24-A-02-110.02We recommend that the Indian Health Service work with Gallup Indian Medical Center and the Navajo Area Office to monitor background investigations to ensure all elements are completed within required timeframes in accordance with Federal requirements.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
24-A-02-110.03We recommend that the Indian Health Service work with Gallup Indian Medical Center and the Navajo Area Office to update standard operating procedures for background investigations to include completing background investigations for temporary staff in accordance with Federal requirements.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
24-A-02-110.04We recommend that the Indian Health Service work with Gallup Indian Medical Center and the Navajo Area Office to determine which staff members in contact with Indian children currently have a pending background investigation and take immediate action to supervise these staff members when children are in their care and adequately document such supervision.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
24-A-02-110.05We recommend that the Indian Health Service work with Gallup Indian Medical Center and the Navajo Area Office to follow through on its plans for an agencywide process to facilitate compliance with the sight and supervision requirements for staff with pending background investigations, including documentation that supervision actually occurs.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
-
ASPR Established Adequate Controls for Maintaining Physical Security Over Stockpile Site A, but Some Inventory Discrepancies Were Identified
24-A-04-108.01We recommend that ASPR correct the one Push Package sample item in its Stockpile's inventory system and complete its annual warehouse inventory check by the established target date of September 2024.- Status
- Open Unimplemented
- Responsible Agency
- ASPR
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/23/2025
- Legislative Related
- No
-
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HealthAssurance, Pennsylvania, Inc. (Contract H5522) Submitted to CMS
24-A-05-106.01We recommend that CVS Health refund to the Federal Government the $4,256,568 of estimated overpayments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $4,256,568
- Last Update Received
- 11/05/2024
- Next Update Expected
- 05/05/2025
- Legislative Related
- No
24-A-05-106.02We recommend that CVS Health identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 11/05/2024
- Next Update Expected
- 05/05/2025
- Legislative Related
- No
24-A-05-106.03We recommend that CVS Health continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 11/05/2024
- Next Update Expected
- 05/05/2025
- Legislative Related
- No
-
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Humana Health Plan, Inc. (Contract H2649) Submitted to CMS
24-A-02-107.01We recommend that Humana Health Plan, Inc. refund to the Federal Government the $6,777,385 of estimated overpayments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $6,777,385
- Last Update Received
- 10/29/2024
- Next Update Expected
- 04/30/2025
- Legislative Related
- No
24-A-02-107.02We recommend that Humana Health Plan, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 10/29/2024
- Next Update Expected
- 04/30/2025
- Legislative Related
- No
24-A-02-107.03We recommend that Humana Health Plan, Inc. continue to examine its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 10/29/2024
- Next Update Expected
- 04/30/2025
- Legislative Related
- No
-
Additional Oversight of Remote Patient Monitoring in Medicare Is Needed
24-E-02-045.01CMS should implement additional safeguards to ensure that remote patient monitoring is used and billed appropriately in Medicare.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/18/2025
- Legislative Related
- No
24-E-02-045.02CMS should require that remote patient monitoring be ordered and that information about the ordering provider be included on claims and encounter data for remote patient monitoring.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/18/2025
- Legislative Related
- No
24-E-02-045.03CMS should develop methods to identify what health data are being monitored.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/18/2025
- Legislative Related
- No
24-E-02-045.04CMS should conduct provider education about billing of remote patient monitoring.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/18/2025
- Legislative Related
- No
24-E-02-045.05CMS shoild identify and monitor companies that bill for remote patient monitoring.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/18/2025
- Legislative Related
- No
-
Medicare and Medicaid Enrollees in Many High-Need Areas May Lack Access to Medications for Opioid Use Disorder
24-E-BL-035.01CMS should geographically target efforts to increase the number of MOUD providers that treat Medicare enrollees in high-need counties.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
24-E-BL-035.02CMS should work with States to assess whether their Medicaid reimbursement rates for treatment with MOUD are sufficient to recruit and retain enough MOUD providers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
24-E-BL-035.03CMS should work with SAMHSA to develop and maintain a list of active office-based buprenorphine providers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
24-E-BL-035.04CMS should geographically target efforts to increase the number of MOUD providers that treat Medicaid enrollees in high-need counties.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
-
Systemic and Operational Challenges Hinder Efforts to Ensure HIV Care for Medicaid Enrollees
24-E-05-037.01CMS should pursue further actions to help States share knowledge with eachother and coordinate internally regarding strategies to ensure needed care for Medicaid enrollees with HIV.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
24-E-05-037.02CMS should take additional steps to help States leverage the State Data Resource Center to access and use Medicare data for dually eligible enrollees with HIV.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/17/2025
- Legislative Related
- No
-
Novitas Solutions, Inc., Reopened and Corrected Cost Report Final Settlements With Obvious Errors To Collect Overpayments Made to Medicare Providers
24-A-06-104.01We recommend that Novitas develop and deliver education to auditors and supervisors regarding applicable criteria and review requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2025
- Legislative Related
- No
24-A-06-104.02We recommend that Novitas develop and implement enhanced procedures so that supervisors are better qualified to detect incorrect audit adjustments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2025
- Legislative Related
- No
-
Most Children in Foster Care Did Not Receive Credit Checks and Assistance
24-E-07-033.01ACF should monitor whether States are conducting credit checks of all three CRAs for children aged 14 or older who are in foster care, as required.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/04/2025
- Legislative Related
- No
24-E-07-033.02ACF should further assist States in building their capacity to conduct credit checks and to interpret and resolve credit reports effectively.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/04/2025
- Legislative Related
- No
24-E-07-033.03ACF should seek to partner with other government agencies to develop strategies to address issues that States experienced working with CRAs.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/04/2025
- Legislative Related
- No