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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 1,061–1,080 of 1,352 reports, containing 4,352 recommendations Sorted by latest release date
  • Cahaba Safeguard Administrators, LLC, Understated Its Medicare Segment Pension Assets

  • Most of New York's Claims for Federal Reimbursement for Monthly Personal Emergency Response Service Charges Did Not Comply With Medicaid Requirements

  • Colorado Did Not Always Comply With Federal Requirements When Expending Federal Establishment Grant Funds Allocated for Its Shared Eligibility System Costs

  • CMS's Policies and Procedures Were Generally Effective in Ensuring That Prescription Drug Coverage Capitation Payments Were Not Made After the Beneficiaries' Dates of Death

  • The Indian Health Service's Controls Were Not Effective in Ensuring That Its Travel Card Program Complied With Federal Requirements and Its Own Policy

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

  • CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements

  • Texas Did Not Make Increased Primary Care Provider Payments and Claim Reimbursement in Accordance With Federal Requirements

  • Colorado Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services

  • Idaho Received Millions in Unallowable Bonus Payments

  • Drug Supply Chain Security: Dispensers Received Most Tracing Information

  • New Jersey Claimed Federal Medicaid Reimbursement for Children's Partial Hospitalization Services That Did Not Meet Federal and State Requirements

  • New York Did Not Comply With Federal Grant Requirements for Claiming Marketplace Contract Costs to Medicaid and the Children's Health Insurance Program

  • Some Washington State Group-Care Facilities for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements

  • Aurum Institute Generally Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements

  • Many Medicare Claims for Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements

  • Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits

  • Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2017

  • Oklahoma Did Not Have Procedures to Identify Provider-Preventable Conditions on Some Inpatient Hospital Claims

  • BCFS Health and Human Services Did Not Always Comply With Federal Requirements Related to Less-Than-Arm's-Length Leases