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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 April 15, 2026

1,094

Unimplemented
recommendations

3,367

Implemented and Closed
recommendations since FY 2017

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OIG Recommendations Grouped by Report

Showing 261–280 of 1,385 reports, containing 4,461 recommendations Sorted by latest release date

  • Cahaba Government Benefits Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals

    Audit
    A-07-23-00634
    HHS Agency
    CMS
    Issued
    01/04/2024

  • Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals

    Audit
    A-07-23-00635
    HHS Agency
    CMS
    Issued
    01/04/2024

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

    Audit
    A-05-22-00019
    HHS Agency
    CMS
    Issued
    12/20/2023

  • HHS Did Not Ensure Foundational Cybersecurity Controls Were in Place Prior to Implementation of HHS Protect and Use of a Contractor's Cloud Service

    Audit
    A-18-20-06800R
    HHS Agency
    OS
    Issued
    12/19/2023

  • California Did Not Comply With Requirements for Documenting Psychotropic and Opioid Medications Prescribed for Children in Foster Care

    Audit
    A-05-22-00007
    HHS Agency
    ACF
    Issued
    12/19/2023

  • NIH Did Not Consistently Meet Federal Single Audit Requirements for Extramural Grants

    Evaluation
    OEI-04-21-00160
    HHS Agency
    NIH
    Issued
    12/14/2023

  • The National Institutes of Health Did Not Receive 81 of 109 Required Audit Reports for Foreign Grant Recipients

    Audit
    A-05-21-00019
    HHS Agency
    NIH
    Issued
    12/14/2023

  • The Provider Relief Fund Helped Select Nursing Homes Maintain Services During the COVID 19 Pandemic, but Some Found Guidance Difficult to Use

    Evaluation
    OEI-06-22-00040
    HHS Agency
    HRSA
    Issued
    12/12/2023

  • The Consistently Low Percentage of Medicare Enrollees Receiving Medication to Treat Their Opioid Use Disorder Remains a Concern

    Evaluation
    OEI-02-23-00250
    HHS Agency
    CMS
    Issued
    12/11/2023

  • Washington State Did Not Ensure That Selected Nursing Homes Complied With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

    Audit
    A-09-22-02006
    HHS Agency
    CMS
    Issued
    12/08/2023

  • Connecticut Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents

    Audit
    A-01-21-00001
    HHS Agency
    CMS
    Issued
    12/06/2023

  • Pennsylvania Implemented Our Prior Audit Recommendations for Critical Incidents Involving Medicaid Enrollees With Developmental Disabilities but Should Continue To Take Action To Reduce Unreported Incidents

    Audit
    A-03-22-00202
    HHS Agency
    CMS
    Issued
    11/30/2023

  • Louisiana Should Improve Its Oversight of Nursing Homes' Compliance With Requirements That Prohibit Employment of Individuals With Disqualifying Background Checks

    Audit
    A-06-21-02000
    HHS Agency
    CMS
    Issued
    11/29/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That SelectCare of Texas, Inc. (Contract H4506), Submitted to CMS

    Audit
    A-06-19-05002
    HHS Agency
    CMS
    Issued
    11/27/2023

  • Multiple States Made Medicaid Capitation Payments to Managed Care Organizations After Enrollees' Deaths

    Audit
    A-04-21-09005
    HHS Agency
    CMS
    Issued
    11/24/2023

  • Some of California's Substance Abuse Prevention and Treatment Block Grant Expenditures for Los Angeles County Did Not Comply With Federal and State Requirements

    Audit
    A-09-21-01001
    HHS Agency
    SAMHSA
    Issued
    11/17/2023

  • Kentucky Experienced Challenges in Meeting Federal and State Foster Care Program Requirements During the COVID-19 Pandemic

    Audit
    A-06-22-07001
    HHS Agency
    ACF
    Issued
    11/14/2023

  • CMS Can Do More To Leverage Medicare Claims Data To Identify Unreported Incidents of Potential Abuse or Neglect

    Audit
    A-01-22-00501
    HHS Agency
    CMS
    Issued
    11/08/2023

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

    Audit
    A-03-22-00206
    HHS Agency
    CMS
    Issued
    11/08/2023

  • The Food and Drug Administration Needs To Improve the Premarket Tobacco Application Review Process for Electronic Nicotine Delivery Systems To Protect Public Health

    Audit
    A-06-22-01002
    HHS Agency
    FDA
    Issued
    11/08/2023