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
Showing 121–140 of 1,427 reports, containing 4,580 recommendations
Sorted by latest release date
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Companion Data Services, LLC, Did Not Claim Some Allowable Medicare Excess Plan Costs Through Its Incurred Cost Proposals
25-A-07-105.01We recommend that Companion Data Services, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare Excess Plan costs of $91,241 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Companion Data Services, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals
25-A-07-106.01We recommend that Companion Data Services, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare PRB costs of $880 for CY 2017.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $880
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Companion Data Services, LLC, Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan III Costs Through Its Incurred Cost Proposals
25-A-07-107.01We recommend that Companion Data Services, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare SERP III costs of $299 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $299
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Companion Data Services, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals
25-A-07-102.01We recommend that Companion Data Services, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare pension costs of $96,081 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Companion Data Services, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2022
25-A-07-103.01We recommend that Companion Data Services, LLC, increase its Medicare segment pension assets by $269,643 and recognize $16,520,063 as the Medicare segment pension assets as of January 1, 2022.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $269,643
- Last Update Received
- 03/27/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
25-A-07-103.02We recommend that Companion Data Services, LLC, improve policies and procedures to ensure that going forward, it calculates Medicare segment pension assets in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/01/2026
- Legislative Related
- No
-
Companion Data Services, LLC, Overstated Its Excess Plan Medicare Segment Pension Assets as of January 1, 2022
25-A-07-104.01We recommend that Companion Data Services, LLC decrease its Excess Plan Medicare segment pension assets by $23,172 and recognize $1,033,200 as the Excess Plan Medicare segment pension assets as of January 1, 2022.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/31/2026
- Legislative Related
- No
25-A-07-104.02We recommend that Companion Data Services, LLC, improve policies and procedures to ensure that going forward, it calculates Excess Plan Medicare segment pension assets in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/31/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposal
25-A-07-098.01We recommend that Palmetto Government Benefits Administrator, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare PRB costs of $9,169 for CY 2017.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $9,169
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan III Costs Through Its Incurred Cost Proposals
25-A-07-100.01We recommend that Palmetto Government Benefits Administrator, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare SERP III costs of $4,082 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $4,082
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Understated Its Excess Plan Medicare Segment Pension Assets as of January 1, 2022
25-A-07-099.01We recommend that Palmetto Government Benefits Administrator, LLC, increase its Excess Plan Medicare segment pension assets by $169,446 and recognize $2,640,619 as the Excess Plan Medicare segment pension assets as of January 1, 2022.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $169,446
- Last Update Received
- 03/27/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
25-A-07-099.02We recommend that Palmetto Government Benefits Administrator, LLC, improve policies and procedures to ensure that going forward, it calculates Excess Plan Medicare segment pension assets in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/01/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Did Not Claim Some Allowable Medicare Excess Plan Costs Through Its Incurred Cost Proposals
25-A-07-101.01We recommend that Palmetto Government Benefits Administrator, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare Excess Plan costs of $417,088 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Blue Cross Blue Shield of South Carolina Overstated Its Excess Plan Partial Medicare Segment Pension Assets as of January 1, 2022
25-A-07-094.01We recommend that Blue Cross Blue Shield of South Carolina decrease its Excess Plan Partial Medicare segment pension assets by $2,826,146 and recognize $8,216,442 as the Excess Plan Partial Medicare segment pension assets as of January 1, 2022.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/12/2026
- Legislative Related
- No
-
Blue Cross Blue Shield of South Carolina Overstated Its Supplemental Executive Retirement Plan III Medicare Allowable Segment Pension Assets as of January 1, 2022
25-A-07-095.01We recommend that Blue Cross Blue Shield of South Carolina decrease its SERP III Medicare Allowable segment pension assets by $13,431 and recognize $1,059,400 as the SERP III Medicare Allowable segment pension assets as of January 1, 2022.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $13,431
- Last Update Received
- 03/27/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
25-A-07-095.02We recommend that Blue Cross Blue Shield of South Carolina improve policies and procedures to ensure that going forward, it calculates Medicare Allowable segment pension assets in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/01/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals
25-A-07-097.01We recommend that Palmetto Government Benefits Administrator, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare pension costs of $1,931,761 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Palmetto Government Benefits Administrator, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2022
25-A-07-096.01We recommend that Palmetto Government Benefits Administrator, LLC, decrease its Medicare segment pension assets by $1,829,164 and recognize $88,028,452 as the Medicare segment pension assets as of January 1, 2022.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/31/2026
- Legislative Related
- No
25-A-07-096.02We recommend that Palmetto Government Benefits Administrator, LLC, improve policies and procedures to ensure that going forward, it calculates Medicare segment pension assets in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/31/2026
- Legislative Related
- No
-
CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals
25-A-07-090.01We recommend that CGS Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare pension costs of $51,297 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Excess Plan Costs Through Its Incurred Cost Proposals
25-A-07-091.01We recommend that CGS Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects an increase in Medicare Excess Plan costs of $237,127 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
CGS Administrators, LLC, Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan III Costs Through Its Incurred Cost Proposals
25-A-07-092.01We recommend that CGS Administrators, LLC, work with CMS to ensure that its final settlement of contract costs reflects a decrease in Medicare SERP III costs of $1,913 for CYs 2017 through 2021.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $1,913
- Last Update Received
- 03/27/2026
- Next Update Expected
- 09/30/2026
- Legislative Related
- No
-
Alabama Did Not Always Verify Selected Nursing Homes’ Compliance With Background Check Requirements
25-A-04-093.01We recommend that the Alabama Department of Public Health develop a process for verifying that nursing homes complete a background check and a Registry query before employees begin work.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/01/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
25-A-04-093.02We recommend that the Alabama Department of Public Health educate nursing homes on the importance of conducting timely background checks and Registry queries.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/09/2026
- Legislative Related
- No
25-A-04-093.03We recommend that the Alabama Department of Public Health require nursing homes to develop policies and procedures to conduct Registry queries before employees begin work.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/01/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
25-A-04-093.04We recommend that the Alabama Department of Public Health conduct a review of nursing homes' compliance with background checks and Registry check requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/01/2026
- Next Update Expected
- 10/01/2026
- Legislative Related
- No
-
Florida Did Not Fully Comply With Federal Reporting and Oversight Requirements for Its Opioid Response Grant
25-A-04-089.01We recommend that the Florida Department of Children and Families (DCF) update the reconciliation process, or consider an alternative approach, so that Federal Financial Reports (FFRs) are submitted accurately and refunds of unspent funds are executed timely.- Status
- Open Unimplemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 07/01/2026
- Next Update Expected
- 01/06/2027
- Legislative Related
- No
25-A-04-089.02We recommend that the Florida Department of Children and Families (DCF) require that a review of State Opioid Response (SOR) expenditures is included in DCF's desk reviews.- Status
- Open Unimplemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 07/01/2026
- Next Update Expected
- 01/06/2027
- Legislative Related
- No
25-A-04-089.03We recommend that the Florida Department of Children and Families (DCF) require that Managing Entities (MEs) strengthen controls over service data entry and support maintained by network service providers.- Status
- Closed Implemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/27/2026
- Legislative Related
- No
25-A-04-089.04We recommend that the Florida Department of Children and Families (DCF) require Opioid Prevention Program-enrolled organizations to maintain supporting documentation for Federal grant activities reported and include information on reporting requirements and consequences for inaccurate or untimely reporting in future trainings.- Status
- Closed Implemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/27/2026
- Legislative Related
- No
25-A-04-089.05We recommend that the Florida Department of Children and Families (DCF) develop policies and procedures for maintaining data used to prepare progress reports for State Opioid Response (SOR) grants, including a standardized process for using data when reporting program goal outcomes.- Status
- Closed Implemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/27/2026
- Legislative Related
- No
-
Medicare Could Have Saved an Estimated $17.7 Million if CMS’s Oversight Had Prevented At-Risk Payments for Anesthesia Administered During Spinal Pain Management Procedures
25-A-09-087.01We recommend that the Centers for Medicare & Medicaid Services direct the MACs or other CMS contractors to review potentially improper claims for anesthesia administered during selected SPM procedures that had dates of service during our audit period to determine whether payments for administration of anesthesia complied with Medicare requirements.- Status
- Closed Acceptable Alternative
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2025
- Legislative Related
- No
25-A-09-087.02We recommend that the Centers for Medicare & Medicaid Services collaborate with the MACs to develop or update system edits that would lower the risk of improper Medicare payments for anesthesia administered during selected SPM procedures, which could have saved an estimated $17,688,110 during our audit period.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $17,688,110
- Last Update Received
- -
- Closed Date
- 02/10/2026
- Legislative Related
- No
25-A-09-087.03We recommend that the Centers for Medicare & Medicaid Services collaborate with the MACs to develop additional physician education specific to anesthesia administered during selected SPM procedures, and consider the suggestions provided by the physicians for the 28 sessions in our nonstatistical sample.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/01/2026
- Legislative Related
- No
25-A-09-087.04We recommend that the Centers for Medicare & Medicaid Services share the results of this audit with all of the MACs to show that: (1) for the SPM procedures for which LCDs are in place, MACs paid physicians for anesthesia administered during selected SPM procedures that were at risk for noncompliance with Medicare requirements and (2) for sacroiliac joint injections for which two MACs do not have LCDs in place, these two MACs paid for almost half of the sessions nationwide in which anesthesia was administered during these procedures.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/03/2026
- Legislative Related
- No