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 December 17, 2025
1,189
Unimplemented
recommendations
3,163
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
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New York Overpaid Certain Medicaid Mental Health Services Providers
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CMS Is Taking Steps To Improve Oversight of Provider-Based Facilities, But Vulnerabilities Remain
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State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates
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Medicaid: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure
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Medicaid Enhanced Provider Enrollment Screenings Have Not Been Fully Implemented
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Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results
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Medicare Compliance Review of Lafayette General Medical Center for Claims Paid During 2013 and 2014
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Medicare Contractor Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction H Generally Did Not Comply With Medicare Requirements
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Opportunities for Program Improvements Related to States' Withdrawals of Federal Medicaid Funds
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California Improperly Claimed Enhanced Federal Reimbursement for Selected Claim Lines for Medicaid Family Planning Drugs and Supplies in Los Angeles and Orange Counties
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Missouri Claimed Unallowable Medicaid Payments for Individualized Supported Living Habilitation Services
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Nevada Misallocated Costs for Establishing a Health Insurance Marketplace to Its Establishment Grants
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Promise Hospital of Ascension Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor
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Most Children With Medicaid in Four States Are Not Receiving Required Dental Services
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Not All of the Colorado Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements
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New York State Improperly Claimed Medicaid Reimbursement for Some Adult Day Health Care Services
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Hoveround Corporation Claimed Millions in Federal Reimbursement for Power Mobility Devices That Did Not Meet Medicare Requirements
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Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012
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Total Sleep Management, Inc., Billed Medicare for Unallowable Sleep Study Services
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CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services