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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 121–140 of 1,223 reports, containing 4,008 recommendations Sorted by latest release date

  • The Strategic National Stockpile Was Not Positioned To Respond Effectively to the COVID-19 Pandemic

    Audit
    A-04-20-02028
    HHS Agency
    ASPR
    Issued
    10/16/2023

  • Medicare Could Save Millions if It Implements an Expanded Hospital Transfer Payment Policy for Discharges to Postacute Care

    Audit
    A-01-21-00504
    HHS Agency
    CMS
    Issued
    10/06/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Aetna, Inc. (Contract H5521) Submitted to CMS

    Audit
    A-01-18-00504
    HHS Agency
    CMS
    Issued
    10/02/2023

  • New Jersey Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

    Audit
    A-02-22-01004
    HHS Agency
    CMS
    Issued
    09/29/2023

  • Biosimilars Have Lowered Costs for Medicare Part B and Enrollees, but Opportunities for Substantial Spending Reductions Still Exist

    Evaluation
    OEI-05-22-00140
    HHS Agency
    CMS
    Issued
    09/26/2023

  • District of Columbia Medicaid Fraud Control Unit: 2022 Onsite Review

    Evaluation
    OEI-06-22-00420
    HHS Agency
    MFCU
    Issued
    09/26/2023

  • Many Medicaid Enrollees with Opioid Use Disorder Were Treated with Medication; However, Disparities Present Concerns

    Evaluation
    OEI-BL-22-00260
    HHS Agency
    CMS
    Issued
    09/25/2023

  • Home Health Agencies Rarely Furnished Services Via Telehealth Early in the COVID-19 Public Health Emergency

    Audit
    A-05-21-00026
    HHS Agency
    CMS
    Issued
    09/25/2023

  • Four States Reviewed Received Increased Medicaid COVID-19 Funding Even Though They Terminated Some Enrollees' Coverage for Unallowable or Potentially Unallowable Reasons

    Audit
    A-06-21-09002
    HHS Agency
    CMS
    Issued
    09/22/2023

  • Medicare Advantage Compliance Audit of Diagnosis Codes That Health Net of California, Inc. (Contract H0562) Submitted to CMS

    Audit
    A-09-18-03007
    HHS Agency
    CMS
    Issued
    09/22/2023

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

    Audit
    A-04-21-08090
    HHS Agency
    CMS
    Issued
    09/21/2023

  • FDA Could Take Stronger Enforcement Action Against Tobacco Retailers With Histories of Sales to Youth and Other Violations

    Evaluation
    OEI-01-20-00240
    HHS Agency
    FDA
    Issued
    09/18/2023

  • New York Did Not Ensure That a Managed Care Organization Complied With Requirements for Denying Prior Authorization Requests

    Audit
    A-02-21-01016
    HHS Agency
    CMS
    Issued
    09/18/2023

  • Amerigroup Iowa's Prior Authorization and Appeal Processes Were Effective, but Improvements Can Be Made

    Audit
    A-07-22-07007
    HHS Agency
    CMS
    Issued
    09/13/2023

  • Kentucky Did Not Always Invoice Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

    Audit
    A-04-22-07102
    HHS Agency
    CMS
    Issued
    09/12/2023

  • Novitas Solutions, Inc., Claimed Some Unallowable Medicare Nonqualified Plan Costs Through Its Incurred Cost Proposals

    Audit
    A-07-23-00633
    HHS Agency
    CMS
    Issued
    09/12/2023

  • Puerto Rico Claimed Over $7 Million in Federal Reimbursement for Medicaid Capitation Payments Made on Behalf of Enrollees Who Were or May Have Been Deceased

    Audit
    A-02-21-01005
    HHS Agency
    CMS
    Issued
    09/11/2023

  • The Substance Abuse and Mental Health Services Administration Did Not Ensure That Clinics Fully Complied With Federal Requirements When Awarding and Monitoring Certified Community Behavioral Health Clinic Expansion Grants

    Audit
    A-02-21-02010
    HHS Agency
    SAMHSA
    Issued
    09/11/2023

  • Texas Made Capitation Payments for Enrollees Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Another State

    Audit
    A-05-22-00018
    HHS Agency
    CMS
    Issued
    09/11/2023

  • Puerto Rico Claimed More Than $500 Thousand in Unallowable Medicaid Managed Care Payments for Enrollees Assigned More Than One Identification Number

    Audit
    A-02-21-01004
    HHS Agency
    CMS
    Issued
    09/08/2023