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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

$270.4B

Potential savingsfrom unimplemented recommendations

2,698

Implemented and Closed
recommendations since FY 2017

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OIG Recommendations Grouped by Report

Showing 181–200 of 1,223 reports, containing 4,008 recommendations Sorted by latest release date

  • The Risk of Misuse and Diversion of Buprenorphine for Opioid Use Disorder Appears to Be Low in Medicare Part D

    Evaluation
    OEI-02-22-00160
    HHS Agency
    CMS
    Issued
    05/16/2023

  • Massachusetts MMIS and E&E System Security Controls Were Generally Effective, but Some Improvements Are Needed

    Audit
    A-18-20-08003
    HHS Agency
    CMS
    Issued
    05/16/2023

  • State Agencies Can Improve Their Reporting of Children Missing From Foster Care to Law Enforcement for Entry Into the National Crime Information Center Database as Required by Federal Statute

    Audit
    A-07-21-06104
    HHS Agency
    ACF
    Issued
    05/12/2023

  • Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2022

    Audit
    A-18-22-11200
    HHS Agency
    OS
    Issued
    05/09/2023

  • The Office of Refugee Resettlement Needs To Improve Its Practices for Background Checks During Influxes

    Audit
    A-06-21-07003
    HHS Agency
    ACF
    Issued
    05/02/2023

  • Medicare Improperly Paid Providers for Some Psychotherapy Services, Including Those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency

    Audit
    A-09-21-03021
    HHS Agency
    CMS
    Issued
    05/02/2023

  • Medicare Could Have Saved Up To $128 Million Over 5 Years if CMS Had Implemented Controls To Address Duplicate Payments for Services Provided to Individuals With Medicare and Veterans Health Administration Benefits

    Audit
    A-09-22-03004
    HHS Agency
    CMS
    Issued
    04/24/2023

  • Crow/Northern Cheyenne Hospital—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff

    Audit
    A-02-21-02004
    HHS Agency
    IHS
    Issued
    04/21/2023

  • CMS Did Not Accurately Report on Care Compare One or More Deficiencies Related to Health, Fire Safety, and Emergency Preparedness for an Estimated Two-Thirds of Nursing Homes

    Audit
    A-09-20-02007
    HHS Agency
    CMS
    Issued
    04/10/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H6609) Submitted to CMS

    Audit
    A-05-19-00013
    HHS Agency
    CMS
    Issued
    04/04/2023

  • Rhode Island Medicaid Fraud Control Unit: 2022 Inspection

    Evaluation
    OEI-07-22-00370
    HHS Agency
    MFCU
    Issued
    03/29/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Cigna-HealthSpring Life & Health Insurance Company, Inc. (Contract H4513) Submitted to CMS

    Audit
    A-07-19-01192
    HHS Agency
    CMS
    Issued
    03/28/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That MCS Advantage, Inc. (Contract H5577) Submitted to CMS

    Audit
    A-02-20-01008
    HHS Agency
    CMS
    Issued
    03/24/2023

  • Maryland's Child Support Administration Generally Claimed Administrative Costs That Were Allowable and Allocable

    Audit
    A-01-22-02500
    HHS Agency
    ACF
    Issued
    03/23/2023

  • Medicare Improperly Paid Physicians an Estimated $30 Million for Spinal Facet-Joint Interventions

    Audit
    A-09-22-03006
    HHS Agency
    CMS
    Issued
    03/22/2023

  • Missouri's Oversight of Certified Individualized Supported Living Provider Health and Safety Could Be Improved in Some Areas

    Audit
    A-07-21-03247
    HHS Agency
    CMS
    Issued
    03/21/2023

  • The District of Columbia Has Taken Significant Steps To Ensure Accountability Over Amounts Managed Care Organizations Paid to Pharmacy Benefit Managers

    Audit
    A-03-20-00200
    HHS Agency
    CMS
    Issued
    03/16/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Geisinger Health Plan (Contract H3954) Submitted to CMS

    Audit
    A-09-21-03011
    HHS Agency
    CMS
    Issued
    03/16/2023

  • Georgia Did Not Comply With Federal Waiver and State Requirements at All 20 Adult Day Health Care Facilities Reviewed

    Audit
    A-04-22-00134
    HHS Agency
    CMS
    Issued
    03/14/2023

  • Georgia Did Not Always Invoice Rebates to Manufacturers for Pharmacy and Physician-Administered Drugs

    Audit
    A-04-21-08089
    HHS Agency
    CMS
    Issued
    03/13/2023