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
Views
OIG Recommendations Grouped by Report
Showing 781–800 of 1,352 reports, containing 4,352 recommendations
Sorted by latest release date
-
Michigan Made Capitation Payments to Managed Care Entities After Beneficiaries' Deaths
20-A-05-062.01We recommend that the Michigan Department of Health and Human Services refund $27,545,800 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $27,545,800
- Last Update Received
- -
- Closed Date
- 03/19/2024
- Legislative Related
- No
20-A-05-062.02We recommend that the Michigan Department of Health and Human Services identify and recover unallowable payments made to managed care entities during our audit period on behalf of deceased beneficiaries, which we estimate to be at least $39,873,514.- Status
- Closed Acceptable Alternative
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/18/2023
- Legislative Related
- No
20-A-05-062.03We recommend that the Michigan Department of Health and Human Services identify capitation payments made on behalf of deceased beneficiaries before and after our audit period and repay the Federal share of amounts recovered.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/19/2024
- Legislative Related
- No
20-A-05-062.04We recommend that the Michigan Department of Health and Human Services strengthen its policies and procedures for identifying deceased beneficiaries to ensure that dates of death are recorded accurately and in a timely manner in the CHAMPS to prevent unallowable payments.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/03/2023
- Legislative Related
- No
20-A-05-062.05We recommend that the Michigan Department of Health and Human Services ensure that capitation payments are recovered when a date of death is retroactively entered in the CHAMPS.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/03/2023
- Legislative Related
- No
-
Wateree Community Actions, Inc., Made Improvements but Still Requires Monitoring
20-A-04-060.01We recommend that Wateree Community Actions, Inc. monitor the non-Federal match it is receiving throughout the budget year and, if needed, either request a waiver from ACF immediately upon determining that it cannot meet its match requirements or adjust its Federal funds grant expenditures accordingly.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/28/2020
- Legislative Related
- No
20-A-04-060.02We recommend that Wateree Community Actions, Inc. ensure adequate controls are in place to prevent invoicing both Head Start and the USDA Child Nutrition programs for the same expenses.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/28/2020
- Legislative Related
- No
20-A-04-060.03We recommend that Wateree Community Actions, Inc. establish a tracking system to ensure that all required Federal reports are completed and submitted on time.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/28/2020
- Legislative Related
- No
20-A-04-060.04We recommend that Wateree Community Actions, Inc. train staff on how to accurately complete the SF-425.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/28/2020
- Legislative Related
- No
-
The Majority of Providers Reviewed Used Medicare Part D Eligibility Verification Transactions for Potentially Inappropriate Purposes
20-A-05-059.01We recommend that the Centers for Medicare & Medicaid Services continue to monitor providers submitting a high number of E1 transactions relative to prescriptions processed.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/04/2021
- Legislative Related
- No
20-A-05-059.02We recommend that the Centers for Medicare & Medicaid Services issue guidance that clearly states that E1 transactions should not be used for marketing purposes.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/04/2021
- Legislative Related
- No
20-A-05-059.03We recommend that the Centers for Medicare & Medicaid Services ensure that only pharmacies and other authorized entities submit E1 transactions.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/04/2021
- Legislative Related
- No
20-A-05-059.04We recommend that the Centers for Medicare & Medicaid Services take appropriate enforcement action when abuse is identified.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/04/2021
- Legislative Related
- No
-
Opportunities for Williamson and Burnet Counties Had Ineffective Accounting Controls and Used Unapproved or Questionable Cost Allocation Methods
20-A-06-058.01We recommend that Opportunities for Williamson and Burnet Counties implement procedures designed to ensure that Federal funds are drawn down only in the amounts needed to meet the immediate cash requirements of its CSBG and LIHEAP-related activities.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-058.02We recommend that Opportunities for Williamson and Burnet Counties instruct and train its finance employees to use the grant year program code built into the accounting software to identify revenues and expenses by specific grant year for all Head Start, CSBG, and LIHEAP general ledger transactions.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-058.03We recommend that Opportunities for Williamson and Burnet Counties train employees to follow existing policies and procedures for approval of expenses.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-058.04We recommend that Opportunities for Williamson and Burnet Counties work with CAS to either be released from the existing indirect cost rate or negotiate a current indirect cost rate for claiming future indirect costs.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-058.05We recommend that Opportunities for Williamson and Burnet Counties develop and implement a reasonable basis to allocate meal costs, kitchen salaries, and central office expenses between the Head Start and Senior Nutrition programs in accordance with the benefits received.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-058.06We recommend that Opportunities for Williamson and Burnet Counties refund $3,207 in unallowable costs.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $3,207
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
-
The Federal Marketplace Properly Determined Individuals' Eligibility for Enrollment in Qualified Health Plans but Improperly Determined That an Estimated 3 Percent of Individuals Were Eligible for Insurance Affordability Programs
20-A-09-057.01Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services redetermine, if necessary, the eligibility of the eight sampled individuals for whom eligibility for insurance affordability programs was not or may not have been determined in accordance with Federal requirements.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.02Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace revises its written guidance so that it does not extend an individual's inconsistency period when the marketplace receives returned mail.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.03Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace corrects an error in its eligibility and enrollment system so that the system does not incorrectly show that an individual is no longer enrolled in a QHP.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.04Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace corrects an error in its eligibility and enrollment system so that information on whether an individual met the 5 year bar does not automatically carry over from a previous coverage year.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.05Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace implements a change in its eligibility and enrollment system so that the system maintains data showing that verifications of minimum essential coverage through non-ESI were performed, even if responses were not received from some of the electronic data sources.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.06Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace corrects an error in its eligibility and enrollment system so that the marketplace generates an inconsistency when an individual's attested information related to eligibility for minimum essential coverage through ESI is not completed.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.07Although the Federal marketplace properly determined most individuals' eligibility for insurance affordability programs, to address the specific deficiencies that we identified, we recommend that the Centers for Medicare & Medicaid Services take steps to ensure that the Federal marketplace establishes guidance to exclude income from other gains on a Federal tax return submitted by an individual when resolving an income inconsistency.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.08To improve procedures related to verifying whether individuals complied with the requirement to file a Federal tax return and reconcile APTC payments, we recommend that the Centers for Medicare & Medicaid Services require an individual to submit supporting documentation (e.g., a Federal tax return with IRS Form 8962) when he or she attests to having filed a tax return to reconcile a previous year's APTC payments.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
20-A-09-057.09To improve procedures related to verifying whether individuals complied with the requirement to file a Federal tax return and reconcile APTC payments, we recommend that the Centers for Medicare & Medicaid Services ensure that the Federal marketplace's eligibility and enrollment system performs subsequent FTR verifications for an individual who received an FTR indicator for a tax-filing extension.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/02/2021
- Legislative Related
- No
-
Life Safety and Emergency Preparedness Deficiencies Found at 18 of 20 Texas Nursing Homes
20-A-06-056.01We recommend that Texas follow up with the 18 nursing homes to verify that corrective actions have been taken regarding the life safety and emergency preparedness deficiencies identified in this report.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/16/2020
- Legislative Related
- No
-
New York Claimed Tens of Millions of Dollars for Opioid Treatment Program Services That Did Not Comply With Medicaid Requirements Intended To Ensure the Quality of Care Provided to Beneficiaries
20-A-02-054.01We recommend that the New York State Department of Health refund $39,329,059 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $39,329,059
- Last Update Received
- 09/15/2025
- Next Update Expected
- 03/15/2026
- Legislative Related
- No
20-A-02-054.02We recommend that the New York State Department of Health ensure that providers comply with Federal and State requirements for providing and claiming reimbursement for OTP services.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/17/2025
- Legislative Related
- No
20-A-02-054.03We recommend that the New York State Department of Health implement procedures to detect and prevent duplicate claims for OTP services.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/17/2025
- Legislative Related
- No
-
Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder
20-E-12-006.01SAMHSA should geographically target its efforts to increase the participation of waivered providers in high-need counties.- Status
- Closed Implemented
- Responsible Agency
- SAMHSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/15/2021
- Legislative Related
- No
-
Missouri Medicaid Fraud Control Unit: 2018 Onsite Inspection
20-E-12-007.01Take steps to ensure that Unit case files include all relevant facts, information, and significant documents.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/06/2020
- Legislative Related
- No
20-E-12-007.02Revise the Unit's policies and procedures manual to include a specific frequency for conducting periodic supervisory reviews of Unit case files, and take steps to ensure that case files include documentation of periodic supervisory reviews.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/06/2020
- Legislative Related
- No
20-E-12-007.03Take steps to ensure that the Unit consistently reports all convictions and adverse actions to Federal partners.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/06/2020
- Legislative Related
- No
20-E-12-007.04Establish training-hour requirements for Unit investigators and ensure that all investigators receive annual training.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/06/2020
- Legislative Related
- No
-
The Indiana State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths
20-A-05-053.01We recommend that the Indiana Family and Social Services Administration refund $862,097 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $862,097
- Last Update Received
- -
- Closed Date
- 09/09/2021
- Legislative Related
- No
20-A-05-053.02We recommend that the Indiana Family and Social Services Administration identify and recover unallowable payments made to MCOs during our audit period on behalf of deceased beneficiaries, which we estimate to be at least $1,163,487.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $1,162,159
- Last Update Received
- -
- Closed Date
- 09/09/2021
- Legislative Related
- No
20-A-05-053.03We recommend that the Indiana Family and Social Services Administration identify capitation payments made on behalf of deceased beneficiaries before and after our audit period, and repay the Federal share of amounts recovered.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/25/2020
- Legislative Related
- No
20-A-05-053.04We recommend that the Indiana Family and Social Services Administration ensure that dates of death are added to the MMIS and that capitation payments made after the beneficiaries' deaths are recovered.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/25/2020
- Legislative Related
- No
-
More Than One-Third of New Jersey's Federal Medicaid Reimbursement for Providing Community-Based Treatment Services Was Unallowable
20-A-02-052.01We recommend that the New Jersey Department of Human Services refund $14,888,980 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $14,888,980
- Last Update Received
- 10/22/2025
- Next Update Expected
- 04/30/2026
- Legislative Related
- No
20-A-02-052.02We recommend that the New Jersey Department of Human Services reinforce guidance to the provider community regarding Federal and State requirements for claiming Medicaid reimbursement for PACT services.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/28/2024
- Legislative Related
- No
20-A-02-052.03We recommend that the New Jersey Department of Human Services improve its procedures for monitoring PACT services providers, including implementing procedures to identify deficiencies similar to those identified in this report.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/28/2024
- Legislative Related
- No
20-A-02-052.04We recommend that the New Jersey Department of Human Services consider developing regulations for periodic reassessments to determine whether beneficiaries enrolled in PACT continue to require PACT services.- Status
- Closed Acceptable Alternative
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/07/2025
- Legislative Related
- No
-
CMS's Implementation of a 2014 Policy Change Resulted in Improvements in the Reporting of Coverage Gap Discounts Under Medicare Part D
20-A-07-050.01We recommend that CMS instruct Part D sponsors to adjust PDE records for $658,396 in validated Coverage Gap discounts and, of this amount, instruct the sponsors to remit $363,287 to the beneficiaries who overpaid for their prescriptions at the point of sale.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $658,396
- Last Update Received
- -
- Closed Date
- 07/30/2020
- Legislative Related
- No
20-A-07-050.02We recommend that CMS research the remaining records for which we estimated missed Coverage Gap discounts totaling $406,755 and instruct Part D sponsors to validate and adjust PDE records accordingly and remit applicable amounts to the beneficiaries.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $406,755
- Last Update Received
- -
- Closed Date
- 07/30/2020
- Legislative Related
- No
-
The National Institutes of Health Submitted OIG Clearance Documents for Just Over One-Half of Its Audit Recommendations, and the Remaining 225 Recommendations Were Unresolved as of September 30, 2016
20-A-07-051.01We recommend that the National Institutes of Health update its policies and procedures related to the audit resolution process, to include issuing management decisions and submitting related OCDs to OIG; regardless of whether any corrective action has yet been taken—within the required 6-month resolution period in accordance with Federal requirements and OIG policy.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/27/2020
- Legislative Related
- No
20-A-07-051.02We recommend that the National Institutes of Health promptly resolve the 225 outstanding audit recommendations that were past due as of September 30, 2016.- Status
- Closed Implemented
- Responsible Agency
- NIH
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/27/2020
- Legislative Related
- No
-
Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities
20-A-03-049.01We recommend that the Pennsylvania Department of Human Services record the unreported 24-hour reportable incidents noted in this report.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/16/2022
- Legislative Related
- No
20-A-03-049.02We recommend that the Pennsylvania Department of Human Services work with community-based providers on how to identify and report all 24-hour reportable incidents.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
20-A-03-049.03Work with community-based providers to ensure that all community-based providers' staff understand the requirements for reporting 24-hour reportable incidents within required timeframes- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
20-A-03-049.04We recommend that the Pennsylvania Department of Human Services develop a policy to periodically match Medicaid emergency room visit and acute-care hospital stay claims to 24-hour reportable incidents recorded in the incident reporting system.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
20-A-03-049.05We recommend that the Pennsylvania Department of Human Services work with community-based providers to ensure that administrative reviews and investigations are conducted and reported appropriately and consider all previous 24-hour reportable incidents related to the beneficiary.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
20-A-03-049.06Ensure community-based providers analyze, investigate, and report to the State all beneficiary deaths- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
20-A-03-049.07Send a written report of death to law enforcement or the district attorney's office when a death is determined to be suspicious or when abuse or neglect is suspected- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/07/2022
- Legislative Related
- No
-
Tennessee's Monitoring Ensured Compliance With Criminal Background Check Requirements at 28 of the 30 Childcare Providers Reviewed
20-A-04-048.01We recommend that the Tennessee Department of Human Services conduct all required background checks for the two individuals we identified as not having the required checks at the time of our review.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/19/2022
- Legislative Related
- No
-
Florida's Refugee Medical Assistance Payments Were Generally Allowable
20-A-04-047.01We recommend that Florida refund $8,772 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $8,772
- Last Update Received
- -
- Closed Date
- 04/01/2022
- Legislative Related
- No
-
CMS's Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas
20-A-09-046.01We recommend that the Centers for Medicare & Medicaid Services improve its system controls by checking the EDB's date-of-death information as close as reasonably possible to the date that card mailing data are sent to the print/mail contractor to ensure that Medicare cards are not mailed to deceased beneficiaries.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/12/2020
- Legislative Related
- No
20-A-09-046.02We recommend that the Centers for Medicare & Medicaid Services instruct the Medicare contractors to review deductible amounts that may have been incorrectly collected from beneficiaries or from someone on their behalf and take appropriate actions to resolve these amounts.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/28/2022
- Legislative Related
- No
20-A-09-046.03We recommend that the Centers for Medicare & Medicaid Services instruct the Medicare contractors to review the $2,263,465 in improper payments for claims with dates of service after the beneficiaries' dates of death and initiate recoupment for the amounts identified as improper payments.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $2,263,465
- Last Update Received
- -
- Closed Date
- 05/21/2021
- Legislative Related
- No
-
New York Improperly Claimed Medicaid Reimbursement for Some Bridges to Health Waiver Program Services That Were Not in Accordance With an Approved Plan of Care and Did Not Meet Documentation Requirements
20-A-02-045.01We recommend that the New York Department of Health refund $614,530 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $614,530
- Last Update Received
- -
- Closed Date
- 09/14/2021
- Legislative Related
- No
20-A-02-045.02We recommend that the New York Department of Health develop guidance on not claiming Federal Medicaid reimbursement for HCBS services provided under The Children's Waiver in excess of monthly allotments authorized in beneficiaries' plans of care, which could have reduced or eliminated an estimated $3,281,635 in overpayments during our audit period- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $3,281,635
- Last Update Received
- -
- Closed Date
- 12/22/2020
- Legislative Related
- No
20-A-02-045.03We recommend that the New York Department of Health ensure providers are maintaining the required documentation, according to the provisions in The Children's Waiver, to support claims for Federal Medicaid reimbursement for waiver program services.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2020
- Legislative Related
- No
-
Indian Health Service Has Strengthened Patient Protection Policies but Must Fully Integrate Them Into Practice and Organizational Culture
20-E-06-004.01IHS should extend policies to address more types of perpetrators, victims, and abuse.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/15/2023
- Legislative Related
- No
20-E-06-004.02IHS should ensure that the new incident reporting system is effective and addresses the risks identified in the current system.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/15/2023
- Legislative Related
- No
20-E-06-004.03IHS should designate a central owner in IHS headquarters to ensure clear roles and responsibilities for shared ownership in implementing patient protection policies, and managing and responding to abuse reports.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/16/2022
- Next Update Expected
- 07/22/2023
- Legislative Related
- No
20-E-06-004.04IHS should continue to actively promote an organizational culture of transparency and work to resolve barriers to staff reporting of abuse.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/15/2023
- Legislative Related
- No
20-E-06-004.05IHS should conduct additional outreach to Tribal communities to inform them of patient rights, solicit community concerns, and address barriers to reporting of patient abuse.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/22/2022
- Legislative Related
- No
-
Seminole Nation of Oklahoma Did Not Adequately Operate And Manage Its Head Start Program
20-A-06-044.01We recommend Seminole Nation of Oklahoma implement controls and develop policies and procedures that restrict access to the accounting system to include terminating access when employees leave, limiting permissions granted to the accounting system, providing coverage when key positions are vacant and properly segregating duties between accounting system users and personnel responsible for managing the accounting system.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.02We recommend Seminole Nation of Oklahoma securely store the executive signature stamps and restrict access to and the use of the executive signature stamps, and develop and implement policies and procedures regarding the purposes of the signature stamps and how the stamps should be used.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.03We recommend Seminole Nation of Oklahoma develop and implement a cost allocation plan policy and procedures that identify and assign its Head Start and Early Head costs to the benefitted activities on a reasonable and consistent basis.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.04We recommend that Seminole Nation of Oklahoma refund $5,095 to the Federal government for the inadequately documented costs, and strengthen existing controls to ensure that costs charged to the Head Start Program are properly supported with adequate documentation.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $5,095
- Last Update Received
- -
- Closed Date
- 02/04/2021
- Legislative Related
- No
20-A-06-044.05We recommend that Seminole Nation of Oklahoma develop and implement policies and procedures to create vehicle logs to identify the purpose of trips when using Head Start vehicles.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.06We recommend that Seminole Nation of Oklahoma submit its Federal financial reports timely, ensure that employees are aware of requirements related to filing Federal financial reports, and ensure coverage for filing reports when key positions are vacant.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.07We recommend Seminole Nation of Oklahoma strengthen monitoring procedures to ensure that costs claimed benefit the program during the grant period, and ensure that equipment purchased is operational and put to use timely.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No
20-A-06-044.08We recommend Seminole Nation of Oklahoma develop and implement policies and procedures to track administrative costs and ensure that the administrative costs charged to the Head Start grant do not exceed 15 percent of total approved program costs.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/14/2021
- Legislative Related
- No