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
Views
OIG Recommendations Grouped by Report
Showing 21–40 of 1,340 reports, containing 4,323 recommendations
Sorted by latest release date
-
Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents
25-E-05-040.01CMS should take steps to ensure the completeness and accuracy of the nursing home-reported Minimum Data Set data used to calculate the quality measures for falls with major injury.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
25-E-05-040.02CMS should explore whether approaches to improve the quality measures related to falls could similarly be used to improve the accuracy of other nursing home quality measures.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
-
The Patient Safety Organization Program: Key Barriers Impeding Nationwide Progress Toward Reducing Patient Harm in Hospitals
25-E-01-051.01AHRQ should increase alignment of the PSO program with other HHS patient safety efforts.- Status
- Open Unimplemented
- Responsible Agency
- AHRQ
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
25-E-01-051.02AHRQ sould promote opportunities to involve patients and families in PSO activities.- Status
- Open Unimplemented
- Responsible Agency
- AHRQ
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
25-E-01-051.03AHRQ should clarify cybersecurity protections and data use limitations for PSWP submitted to the NPSD.- Status
- Open Unimplemented
- Responsible Agency
- AHRQ
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
25-E-01-051.04AHRQ should take steps to harness technologies and new data sources that could help address barriers facing the NPSD.- Status
- Open Unimplemented
- Responsible Agency
- AHRQ
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/10/2026
- Legislative Related
- No
-
Mississippi Did Not Report and Return All Medicaid Overpayments for the State’s Medicaid Fraud Control Unit Cases
25-A-06-118.01We recommend that the Mississippi Division of Medicaid work with CMS to determine whether any Federal share is owed for the six unreported cases that related to paid claims, totaling $4,163,439 ($3,495,018 Federal share).- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $3,495,018
- Last Update Received
- -
- Next Update Expected
- 03/07/2026
- Legislative Related
- No
25-A-06-118.02We recommend that the Mississippi Division of Medicaid work with any necessary State authorities to report and return the Federal share of the unreported MFCU-determined Medicaid overpayments that related to court-ordered awards that were collected, totaling $7,217 ($6,077 Federal share).- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $6,077
- Last Update Received
- -
- Next Update Expected
- 03/07/2026
- Legislative Related
- No
25-A-06-118.03We recommend that the Mississippi Division of Medicaid work with any necessary State authorities to identify MFCU collections of the remaining $138,588 ($114,483 Federal share) in court-ordered awards and report and return the Federal share if and when they are collected.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $114,483
- Last Update Received
- -
- Next Update Expected
- 03/07/2026
- Legislative Related
- No
25-A-06-118.04We recommend that the Mississippi Division of Medicaid strengthen internal controls by expanding written policies and procedures to include procedures for reviewing all checks and MFCU-determined Medicaid overpayment court documents received from the MFCU, recording them in the State agency's accounting system, reporting them on the Form CMS-64 within prescribed regulatory timeframes, and adding instructions on how to report court-ordered awards.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/07/2026
- Legislative Related
- No
25-A-06-118.05We recommend that the Mississippi Division of Medicaid work with any necessary State authorities to determine the Medicaid overpayments and court-ordered awards for cases after our audit period and include any unreported items on the Form CMS-64 according to Federal requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/07/2026
- Legislative Related
- No
-
Hawaii Did Not Ensure That Selected Nursing Facilities Complied With Federal and State Background Check Requirements
25-A-09-117.01We recommend that the Hawaii Department of Human Services and the Department of Health conduct periodic reviews of nursing facilities' compliance with background check requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/21/2025
- Legislative Related
- No
-
By Requiring Emergency Preparedness Plans for Independent Labs, CMS Could Better Ensure That Medicare Enrollees Have Access to Infectious-Disease Diagnostic Testing During a Public Health Emergency
25-A-09-116.01We recommend that the Centers for Medicare & Medicaid Services consider requiring independent labs that participate in Medicare to have emergency preparedness plans to better ensure that Medicare enrollees have access to diagnostic testing related to an emerging infectious disease or a biological toxin in the event of a future PHE.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/03/2026
- Legislative Related
- No
-
ACF Did Not Award, Monitor, and Close Selected Contracts for the Unaccompanied Alien Children Program in Accordance With Federal Requirements
25-A-06-115.01We recommend that the Administration for Children and Families develop action plans to consider the use of advance contracts so that contracting officers can provide for full and open competition; adequately evaluate proposed prices; and confirm that contracts contain a detailed statement of work, all of the required clauses, and a quality assurance surveillance plan.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/02/2026
- Legislative Related
- No
25-A-06-115.02We recommend that the Administration for Children and Families develop action plans to verify that contracts contain measurable performance standards.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/02/2026
- Legislative Related
- No
25-A-06-115.03We recommend that the Administration for Children and Families develop action plans to implement policies and procedures for COR file management.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/02/2026
- Legislative Related
- No
25-A-06-115.04We recommend that the Administration for Children and Families develop action plans to train contracting officers to improve the contract closeout process by deobligating excess funds within 30 days after completion of the contract and obtaining a release of all liabilities, obligations, and claims arising from the contract before issuing the final payment.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/02/2026
- Legislative Related
- No
-
Most Children Enrolled in Medicaid Did Not Receive Timely Suicide-Related Followup Care
25-E-07-037.01CMS should assist low-performing States to better ensure that children at risk of suicide receive timely followup care.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 03/01/2026
- Legislative Related
- No
-
National Government Services, Inc., Reopened and Corrected Cost Report Final Settlements for Desk Reviews Only With Obvious Errors To Correct Payments Made to Medicare Providers
25-A-06-112.01We recommend that National Government Services, Inc. develop and provide additional education to desk reviewers and supervisors regarding applicable criteria and review requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/27/2026
- Legislative Related
- No
25-A-06-112.02We recommend that National Government Services, Inc. develop and implement enhanced procedures, which expand upon the current procedures and which are not limited to the additional training for which NGS has already identified a need, so that supervisors are better qualified to detect incorrect adjustments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/27/2026
- Legislative Related
- No
-
Novitas Solutions, Inc., Reopened and Corrected Cost Report Final Settlements for Desk Reviews Only With Obvious Errors To Correct Payments Made to Medicare Providers
25-A-06-111.01We recommend that Novitas Solutions, Inc. develop and provide additional education to desk reviewers and supervisors regarding applicable criteria and review requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/27/2026
- Legislative Related
- No
25-A-06-111.02We recommend that Novitas Solutions, Inc. develop and implement enhanced procedures, which expand upon the current procedures and which are not limited to the additional training for which Novitas has already identified a need, so that supervisors are better qualified to detect incorrect adjustments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/27/2026
- Legislative Related
- No
-
ACF Did Not Monitor States’ Compliance With All American Rescue Plan Child Care Stabilization Grant Provisions
25-A-02-110.01We recommend that the Administration for Children and Families develop a written plan that can be quickly tailored to fit the circumstances, in the event of future funding of new, emergency, or temporary CCDF programs that includes procedures to identify the key compliance provisions of the authorizing and appropriating legislation, effectively monitor compliance with key provisions, and assess and update the plan as program risk areas are identified.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/26/2026
- Legislative Related
- No
25-A-02-110.02We recommend that the Administration for Children and Families strengthen its procedures to assess the reliability of State-reported program data, collected for emergency, or temporary CCDF programs, prior to publishing such data.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/26/2026
- Legislative Related
- No
25-A-02-110.03We recommend that the Administration for Children and Families establish requirements that States develop internal controls and identify areas of risk for future emergency, or temporary CCDF programs.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/26/2026
- Legislative Related
- No
-
Some Medicaid Managed Care Plans Made Few or No Referrals of Potential Provider Fraud
25-E-03-036.01CMS should follow up with States that had Medicaid managed care plans with no referrals of potential provider fraud, waste, or abuse in 2022.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/26/2026
- Legislative Related
- No
25-E-03-036.02CMS should encourage States to increase the number of Medicaid managed care plans that have received State-led training on the fraud referral process.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/26/2026
- Legislative Related
- No
-
CMS Should Confirm It Is Receiving Medicare Postoperative Visit Data on Global Surgeries When Reporting Is Required
25-A-05-109.01We recommend that the Centers for Medicare & Medicaid Services confirm it is receiving CPT code 99024 data from practitioners that it expected would be reporting postoperative visits and notify any practitioners if no postoperative visits are reported.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/25/2026
- Legislative Related
- No
-
Most Health Centers Provide Some Behavioral Health Services to Patients With Substance Use Disorder, Despite Facing Challenges That Limit Comprehensive Treatment
25-E-BL-035.01HRSA should take additional steps to help health centers overcome barriers that impede provision of both drug counseling and MOUD.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/21/2026
- Legislative Related
- No
-
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
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/17/2026
- 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
- Not Yet Due
- Potential Savings
- $880
- Last Update Received
- -
- Next Update Expected
- 02/17/2026
- 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
- Not Yet Due
- Potential Savings
- $299
- Last Update Received
- -
- Next Update Expected
- 02/17/2026
- 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
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/14/2026
- 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
- Not Yet Due
- Potential Savings
- $269,643
- Last Update Received
- -
- Next Update Expected
- 02/14/2026
- 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
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/14/2026
- 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
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/14/2026
- 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
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 02/14/2026
- 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
- Not Yet Due
- Potential Savings
- $9,169
- Last Update Received
- -
- Next Update Expected
- 02/13/2026
- Legislative Related
- No