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 Sept. 11, 2026
1,051
Unimplemented
recommendations
3,529
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
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Challenges Remain in FDA's Inspections of Domestic Food Facilities
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Some Oklahoma Group Homes Did Not Always Comply With State Requirements
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CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals' Eligibility for Qualified Health Plans and Insurance Affordability Programs
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OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections
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Vulnerabilities Remain in Medicare Hospital Outlier Payments
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Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information
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New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments
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Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets
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Texas Improperly Received Medicaid Reimbursement for School-Based Health Services
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Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities
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Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program
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OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence
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Some Hospitals in Medicare Jurisdiction E Claimed Residents as More Than One Full-Time Equivalent
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Some Hospitals in Medicare Jurisdiction F Claimed Residents as More Than One Full-Time Equivalent
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First Coast Service Options, Inc., Understated Its Medicare Segment and Overstated Its Other Segment Allocable Postretirement Benefit Costs
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First Coast Service Options, Inc., Overstated Its Medicare Segment Postretirement Benefit Assets
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Medicare Could Save Millions by Eliminating the Lump-Sum Purchase Option for All Power Mobility Devices
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HHS Did Not Identify and Report Antideficiency Act Violations
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California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers
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New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements