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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 December 17, 2025

1,189

Unimplemented
recommendations

3,163

Implemented and Closed
recommendations
since FY 2017

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OIG Recommendations Grouped by Report

Showing 721–740 of 1,352 reports, containing 4,352 recommendations Sorted by latest release date
  • Medicaid Data Can Be Used To Identify Instances of Potential Child Abuse or Neglect

  • Texas Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

  • Sharon Baptist Head Start Claimed Unallowable Rent and Failed To Return Embezzled Funds

  • Freedom Orthotics, Inc.: Audit of Medicare Payments for Orthotic Braces

  • Hawaii Medicaid Fraud Control Unit: 2019 Onsite Review

  • Unaccompanied Alien Children Program Care Provider Facilities Do Not Include All Required Security Measures in Their Checklists

  • The Office of Refugee Resettlement's Incident Reporting System Is Not Effectively Capturing Data To Assist Its Efforts To Ensure the Safety of Minors in HHS Custody

  • New Jersey Did Not Ensure That Its Managed Care Organizations Adequately Assessed and Covered Medicaid Beneficiaries' Needs for Long-Term Services and Supports

  • The National Cancer Institute Needs To Strengthen Procedures in Its Pre-Award Process To Assess Risk for Higher Risk Applicants

  • Medicare Hospital Provider Compliance Audit: The Ohio State University Hospital

  • The National Eye Institute Generally Had Adequate Procedures To Assess an Applicant's Risk During the Pre-Award Process

  • Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look

  • Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays

  • Selected Health Care Coalitions Increased Involvement in Whole Community Preparedness But Face Developmental Challenges Following New Requirements in 2017

  • North Carolina Received $30 Million in Excess Federal Funds Related to Improperly Claimed Health Home Expenditures

  • Illinois' Monitoring Did Not Ensure Childcare Provider Compliance With State Criminal Background Check Requirements at 12 of 30 Providers Reviewed

  • Office of Inspector General Penetration Test of the Centers for Medicare & Medicaid Services Affordable Care Act Information Systems

  • HHS Office of the Secretary Should Improve Preventative and Detective Controls to More Effectively Mitigate the Risk of Compromise

  • Grand Desert Psychiatric Services: Audit of Medicare Payments for Psychotherapy Services

  • Palmetto Government Benefits Administrator, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017