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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Missouri Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Hawthorn Children's Psychiatric Hospital
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The University of Colorado Denver Did Not Always Claim Selected Costs Charged Directly to Department of Health and Human Services Awards in Accordance With Federal Regulations
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Indiana Improperly Claimed Federal Reimbursement for Most Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Evansville Psychiatric Children's Center
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New York's Claims for Medicaid Services Provided Under Its Traumatic Brain Injury Waiver Program Did Not Comply With Certain Federal and State Requirements
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New York Improperly Claimed Medicaid Reimbursement for Family-Based Treatment Rehabilitation Services
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Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions
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FDA Lacks Comprehensive Data To Determine Whether Risk Evaluation and Mitigation Strategies Improve Drug Safety
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Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Logansport State Hospital
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Comparison of Average Sales Prices and Average Manufacturer Prices: An Overview of 2011
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Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2009 Through 2011
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MEDIC Benefit Integrity Activities in Medicare Parts C and D
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Medicare Supplier Acquisition Costs for L0631 Back Orthoses
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New York Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies in New York City
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Least Costly Alternative Policies: Impact on Prostate Cancer Drugs Covered Under Medicare Part B
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Improvements Are Needed at the Administrative Law Judge Level of Medicare Appeals
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CMS Has Not Promulgated Regulations To Establish Payment Requirements for Prosthetics and Custom-Fabricated Orthotics
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CMS Response to Breaches and Medical Identity Theft
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Dietary Supplements: Structure/Function Claims Fail To Meet Federal Requirements
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Dietary Supplements: Companies May Be Difficult To Locate in an Emergency
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Inappropriate Medicare Part D Payments for Schedule II Drugs Billed as Refills