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 981–1,000 of 1,352 reports, containing 4,352 recommendations
Sorted by latest release date
-
New York Claimed Federal Reimbursement for Some Assertive Community Treatment Services That Did Not Meet Medicaid Requirements
19-A-02-012.01We recommend that the State agency refund $4,414,469 to the Federal Government.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Partial Concur
- Potential Savings
- $4,414,469
- Last Update Received
- -
- Closed Date
- 06/26/2023
- Legislative Related
- No
19-A-02-012.02We recommend that the State agency ensure that ACT program guidance on claiming Medicaid reimbursement for services is reinforced with providers.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/26/2018
- Legislative Related
- No
19-A-02-012.03We recommend that the State agency continue to improve monitoring of the ACT program.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 10/26/2018
- Legislative Related
- No
-
Professional Clinical Laboratory, Inc., Generally Did Not Comply With Medicare Requirements For Billing Phlebotomy Travel Allowances
19-A-06-011.01We recommend that ProLab refund to the Medicare program the portion of the estimated $319,277 overpayment for claims incorrectly billed that are within the reopening period.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $319,277
- Last Update Received
- -
- Closed Date
- 02/24/2022
- Legislative Related
- No
19-A-06-011.02We recommend that ProLab, for the remaining portion of the estimated $319,277 overpayment for claims that are outside of the Medicare reopening period, exercise reasonable diligence to identify and return overpayments in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/24/2022
- Legislative Related
- No
19-A-06-011.03We recommend that ProLab exercise reasonable diligence to identify and return any additional similar overpayments outside of our audit period, in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/24/2022
- Legislative Related
- No
-
Medicare Compliance Review of Mobile Infirmary Medical Center
19-A-04-009.01We recommend that the Hospital refund to the Medicare contractor $340,125 in estimated overpayments for the audit period for claims that it incorrectly billed.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $340,125
- Last Update Received
- -
- Closed Date
- 02/19/2019
- Legislative Related
- No
19-A-04-009.02We recommend that the Hospital exercise reasonable diligence to identify and return any additional similar overpayments received outside of our audit period, in accordance with the 60-day repayment rule.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/19/2019
- Legislative Related
- No
19-A-04-009.03We recommend that the Hospital strengthen controls to ensure full compliance with Medicare requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/19/2019
- Legislative Related
- No
-
Hospitals Reported Improved Preparedness for Emerging Infectious Diseases After the Ebola Outbreak
19-E-06-001.01ASPR, CDC, and CMS should continue to help hospitals sustain preparedness for emerging infectious diseases by coordinating guidance and providing practical advice for all hospitals.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/22/2020
- Legislative Related
- No
19-E-06-001.02ASPR, CDC, and CMS should continue to help hospitals sustain preparedness for emerging infectious diseases by coordinating guidance and providing practical advice for all hospitals.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/22/2020
- Legislative Related
- No
19-E-06-001.03ASPR, CDC, and CMS should continue to help hospitals sustain preparedness for emerging infectious diseases by coordinating guidance and providing practical advice for all hospitals.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/22/2020
- Legislative Related
- No
19-E-06-001.04CDC should clarify and promote the details and ongoing status of its tiered framework to ensure that hospitals are aware of their responsibilities in the event of a future emerging infectious disease.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/15/2019
- Legislative Related
- No
19-E-06-001.05CMS should add emerging infectious diseases to the definition of “all hazards” in the State Operations Manual to promote inclusion of emerging infectious diseases in hospital emergency planning.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/12/2019
- Legislative Related
- No
-
States Follow a Common Framework in Responding to Breaches of Medicaid Data
19-E-09-002.01CMS should reissue guidance to States about reporting Medicaid breaches to CMS.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/26/2019
- Legislative Related
- No
-
Wisconsin Did not Comply With Federal Waiver and State Requirements at all 20 Adult Day Care Centers Reviewed
19-A-05-005.01We recommend that the State agency ensure that the 208 instances of noncompliance with health and safety and administrative requirements identified in this report are corrected.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/04/2021
- Legislative Related
- No
19-A-05-005.02We recommend that the State agency consider revising staffing standards and caseload thresholds for State surveyors.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/18/2019
- Legislative Related
- No
19-A-05-005.03We recommend that the State agency update the certification checklist and promulgate rules as required by Wisconsin Statutes.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 02/04/2021
- Legislative Related
- No
19-A-05-005.04We recommend the State agency identify and address reasons for low attendance by center personnel at training programs.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/18/2019
- Legislative Related
- No
19-A-05-005.05We recommend the State agency increase State agency guidance on certification requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/18/2019
- Legislative Related
- No
-
Florence Crittenton Services of Orange County, Inc., Did Not Always Claim Expenditures in Accordance With Federal Requirements
19-A-09-004.01We recommend that Crittenton refund to the Federal Government $342,263 for unallowable expenditures claimed.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $342,263
- Last Update Received
- -
- Closed Date
- 03/18/2021
- Legislative Related
- No
19-A-09-004.02We recommend that Crittenton review its claimed expenditures for FY 2016 (the third year of the grant awards) to determine whether they were claimed in accordance with Federal requirements and refund to the Federal Government any unallowable amount.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2021
- Legislative Related
- No
19-A-09-004.03We recommend that Crittenton strengthen its oversight, through additional supervisory review, of expenditures charged to grant awards to ensure that they are claimed in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2021
- Legislative Related
- No
19-A-09-004.04We recommend that Crittenton implement adequate policies and procedures to ensure that it identifies and claims actual expenditures incurred for services and shelter care provided to UAC.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $299,672
- Last Update Received
- -
- Closed Date
- 03/18/2021
- Legislative Related
- No
19-A-09-004.05We recommend that Crittenton work with ORR to determine what portion of the $3,251,090 claimed was unallowable and refund to the Federal Government the unallowable amount.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2021
- Legislative Related
- No
-
Pennsylvania Generally Complied With Maternal, Infant, and Early Childhood Home Visiting Program Requirements
19-A-03-003.01Determine whether ECSD expended the $252,399 according to program requirements and refund to the Federal Government any amount not expended according to program requirements.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/08/2019
- Legislative Related
- No
19-A-03-003.02Develop additional written procedures to provide monitoring and oversight of subrecipient financial management to ensure that subrecipients' general ledgers accurately reflect the costs claimed on their expenditure reports.- Status
- Closed Implemented
- Responsible Agency
- HRSA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/08/2019
- Legislative Related
- No
-
Ohio Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths Audit
19-A-05-002.01We recommend that the State agency refund $37,974,949 to the Federal Government.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $37,974,949
- Last Update Received
- -
- Closed Date
- 11/04/2020
- Legislative Related
- No
19-A-05-002.02We recommend that the State agency identify and recover unallowable payments made to MCOs during our audit period on behalf of deceased beneficiaries, which we estimate to be at least $51,294,467- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/20/2019
- Legislative Related
- No
19-A-05-002.03We recommend that the State agency 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
- 07/28/2023
- Legislative Related
- No
19-A-05-002.04We recommend that the State agency ensure that Ohio Benefits alerts county case workers of beneficiaries' DODs and that DODs are recorded in a timely manner to prevent unallowable payments.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/20/2019
- Legislative Related
- No
-
Many Inpatient Rehabilitation Facility Stays Did Not Meet Medicare Coverage and Documentation Requirements
18-A-01-162.01We recommend that CMS educate IRF clinical and billing personnel on Medicare coverage and documentation requirements and work with providers to identify, develop and share compliance best practices that may lead to improved internal controls.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/29/2019
- Legislative Related
- No
18-A-01-162.02We recommend that CMS increase oversight activities for IRFs, such as postpayment medical review, to determine compliance with coverage and documentation requirements, including a review of a subsample of the 135 IRFs in this review that had 1 or more sampled stays that did not comply with Medicare requirements.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/04/2019
- Legislative Related
- No
18-A-01-162.03We recommend that CMS work with the Office of Medicare Hearings and Appeals to further evaluate the ALJ hearing process and make any necessary improvements to ensure that Medicare coverage and documentation requirements for IRF care are fairly represented.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 11/05/2019
- Legislative Related
- No
18-A-01-162.04We recommend that CMS reevaluate the IRF payment system, which could include conducting a demonstration project requiring prior authorization for Part A IRF stays modeled on Medicare Advantage practices; studying the relationship between IRF PPS payment rates and costs and seek legislative authority to make any changes necessary to more closely align them; and considering the high error rate found in this report and CERT reviews in future acute inpatient rehabilitation service payment reform, which may be a component of a unified post-acute-care PPS system.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/01/2023
- Legislative Related
- No
-
Wisconsin Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths
18-A-05-163.01We recommend that the State agency recover unallowable payments totaling $589,478 from MCOs and refund $347,822 (Federal share) to the Federal Government- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $347,822
- Last Update Received
- -
- Closed Date
- 03/28/2019
- Legislative Related
- No
18-A-05-163.02We recommend that the State agency identify and recover 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
- 03/28/2019
- Legislative Related
- No
18-A-05-163.03We recommend that the State agency strengthen its policies and procedures for identifying deceased beneficiaries and correctly entering DODs in CARES to ensure that DODs are recorded in a timely manner to prevent unallowable payments.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/28/2019
- Legislative Related
- No
-
New Hampshire Medicaid Fraud Control Unit: 2017 Onsite Review
18-E-09-039.01Develop and implement a plan to increase referrals from the Medicaid agency and MCOs.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/17/2019
- Legislative Related
- No
18-E-09-039.02Develop and implement a plan to reduce staff and leadership turnover.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/17/2019
- Legislative Related
- No
18-E-09-039.03Implement policies and procedures to ensure that significant investigative delays are explained in the case files and that periodic supervisory reviews are documented.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/17/2019
- Legislative Related
- No
18-E-09-039.04Revise its fiscal control policies governing vehicle costs.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/17/2019
- Legislative Related
- No
-
Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials
18-E-09-043.01CMS should enhance its oversight of MAO contracts, including those with extremely high overturn rates and/or low appeal rates, and take corrective action as appropriate.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/14/2024
- Legislative Related
- No
18-E-09-043.02CMS should address persistent problems related to inappropriate denials and insufficient denial letters in Medicare Advantage.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 05/08/2020
- Legislative Related
- No
18-E-09-043.03CMS should provide beneficiaries with clear, easily accessible information about serious violations by MAOs.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 06/08/2023
- Next Update Expected
- 07/17/2024
- Legislative Related
- No
-
The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
18-A-07-161.01We recommend that IHS follow its policies and procedures related to the non-Federal audit resolution process to ensure that management decisions are issued within the required 6-month resolution period.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2022
- Legislative Related
- No
18-A-07-161.02We recommend that IHS update policies and procedures related to the Federal audit resolution process to include specifying the detailed steps to be taken to ensure that management decisions are issued within the required 6-month resolution period.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2022
- Legislative Related
- No
18-A-07-161.03We recommend that IHS promptly resolve the 513 outstanding audit recommendations that were past due as of September 30, 2016.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2022
- Legislative Related
- No
18-A-07-161.04We recommend that IHS follow the quarterly reconciliation process that it implemented at the end of our audit period.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2022
- Legislative Related
- No
18-A-07-161.05We recommend that IHS give higher priority to audit resolution so that the audit resolution process is conducted in accordance with Federal requirements.- Status
- Closed Implemented
- Responsible Agency
- IHS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/22/2022
- Legislative Related
- No
-
New Jersey Medicaid Fraud Control Unit: 2017 Onsite Review
18-E-06-041.01Change the supervisory structure to provide the Unit Director with supervision of all Unit staff, oversight of all its caseload, and independence to make management decisions.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
18-E-06-041.02Develop and implement a plan to pursue more nonglobal fraud cases as civil matters, and revise the MOU with MFD to include guidance for handling such cases.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
18-E-06-041.03Take additional steps to ensure the Unit receives an adequate number and quality of fraud referrals from MFD.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
18-E-06-041.04Assess the adequacy of existing staffing levels and, if appropriate, consider a plan to expand the size of the Unit.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
18-E-06-041.05Follow its internal controls for time and attendance.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
18-E-06-041.06Ensure that all case files include documentation of supervisory oversight.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/17/2019
- Legislative Related
- No
-
New York Medicaid Fraud Control Unit: 2017 Onsite Inspection
18-E-12-040.01Take steps to ensure that Unit staff adhere to policies and procedures for securing case files.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/22/2019
- Legislative Related
- No
18-E-12-040.02Create policies and procedures 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
- 07/17/2019
- Legislative Related
- No
18-E-12-040.03Ensure that the Unit consistently reports convictions and adverse actions to Federal partners within the appropriate timeframes.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 06/10/2019
- Legislative Related
- No
18-E-12-040.04Ensure that the Federal government, consistent with Unit policy, is reimbursed its share of proceeds received from the sale and transfer of vehicles and any other equipment.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/22/2019
- Legislative Related
- No
18-E-12-040.05Strengthen internal controls to ensure that costs related to time spent by staff on non-Unit activities are excluded from the Unit's claimed grant expenditures.- Status
- Closed Implemented
- Responsible Agency
- MFCU
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/17/2019
- Legislative Related
- No
-
Heartland Human Care Services, Inc., Generally Met Safety Standards, but Claimed Unallowable Rental Costs
18-A-05-160.01We recommend Heartland adhere to classroom staffing-to-child ratios in accordance with State regulations.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/24/2020
- Legislative Related
- No
18-A-05-160.02We commend that Heartland maintain children's case file documentation in accordance with Office of Refugee Resettlement policy.- Status
- Closed Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/24/2020
- Legislative Related
- No
18-A-05-160.03We recommend Heartland refund $768,460 to Office of Refugee Resettlement for unallowable rental costs ($665,333) and associated indirect costs ($103,127) incurred under the less-than-arm's-length lease agreements and limit future rental costs under less-than-arm's-length lease agreements to the amount that would be allowed under Federal regulations.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- $768,460
- Last Update Received
- -
- Closed Date
- 09/23/2020
- Legislative Related
- No
-
Etheredge Chiropractic Received Unallowable Medicare Payments for Chiropractic Services
18-A-04-158.01We recommend that Etheredge refund to the Federal Government the portion of the estimated $169,737 overpayment for claims for chiropractic services that did not comply with Medicare requirements and are within the 4-year claims reopening period.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $169,737
- Last Update Received
- -
- Closed Date
- 03/18/2019
- Legislative Related
- No
18-A-04-158.02We recommend that Etheredge exercise reasonable diligence to identify and return the overpayments in accordance with the 60-day rule, for the remaining portion of the estimated $169,737 overpayment for claims that are outside of the reopening period, and identify any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2019
- Legislative Related
- No
18-A-04-158.03We recommend that Etherege exercise reasonable diligence to identify and return any additional similar overpayments outside of our audit period, in accordance with the 60-day rule, and identify any returned overpayments as having been made in accordance with this recommendation.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2019
- Legislative Related
- No
18-A-04-158.04We recommend that Etherege establish adequate policies and procedures to ensure that chiropractic services billed to Medicare are medically necessary and adequately documented in the medical records.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 03/18/2019
- Legislative Related
- No
-
Treatment Planning and Medication Monitoring Were Lacking for Children in Foster Care Receiving Psychotropic Medication
18-E-07-037.01ACF should develop a comprehensive strategy to improve States' compliance with requirements related to treatment planning and medication monitoring for psychotropic medication.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 11/17/2023
- Next Update Expected
- 12/04/2024
- Legislative Related
- No
18-E-07-037.02ACF should assist States in strengthening their requirements for oversight of psychotropic medication by incorporating professional practice guidelines for monitoring children at the individual level.- Status
- Closed Implemented
- Responsible Agency
- ACF
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 12/04/2023
- Legislative Related
- No
-
First Coast Service Options, Inc., Overstated Medicare's Share of the Medicare Segment Excess Pension Liabilities
18-A-07-155.01We recommend that FCSO decrease Medicare's share of Medicare segment excess pension liabilities as of 12/31/10 by $6,629,592 and recognize $3,685,907 as Medicare's share of Medicare segment excess pension liabilities as a result of the benefit curtailment.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $6,629,592
- Last Update Received
- -
- Closed Date
- 03/03/2022
- Legislative Related
- No