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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 1,041–1,060 of 1,352 reports, containing 4,352 recommendations Sorted by latest release date
  • New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements

  • University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition

  • Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed

  • Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

  • Nevada Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions

  • HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps

  • Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care

  • CMS Did Not Always Provide Accurate Medicaid Unit Rebate Offset Amounts to State Medicaid Agencies

  • The South African National Department of Health Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements

  • Missouri Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions

  • Iowa Complied With Most Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions

  • Wisconsin Physicians Service Insurance Corporation Understated Medicare's Share of the Medicare Segment Excess Pension Assets

  • Wisconsin Physicians Service Insurance Corporation Understated Medicare Administrative Contract Allowable Pension Costs

  • The University of Alabama at Birmingham Overstated Chilled Water Costs in Its Facilities and Administrative Cost Proposal

  • The National Institutes of Health, Division of Financial Advisory Services Did Not Always Establish Final Indirect Cost Rates in Accordance With Federal Requirements

  • Cahaba Government Benefits Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs

  • Cahaba Government Benefits Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs

  • Cahaba Safeguard Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs

  • Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

  • Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets