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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. 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 November 14, 2025

1,188

Unimplemented
recommendations

3,135

Implemented and Closed
recommendations since FY 2017

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OIG Recommendations Grouped by Report

Showing 241–260 of 1,340 reports, containing 4,323 recommendations Sorted by latest release date

  • States Face Ongoing Challenges in Meeting Third-Party Liability Requirements for Ensuring That Medicaid Functions as the Payer of Last Resort

    Audit
    A-05-21-00013
    HHS Agency
    CMS
    Issued
    10/20/2023

  • South Dakota MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed

    Audit
    A-18-21-09004
    HHS Agency
    CMS
    Issued
    10/18/2023

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

    Audit
    A-07-21-06103
    HHS Agency
    CMS
    Issued
    10/18/2023

  • 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