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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 1,101–1,120 of 1,352 reports, containing 4,352 recommendations Sorted by latest release date
  • Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Employees' Pension Plan

  • Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Retirement Program for Selected Locations

  • Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Pension Plan

  • Texas Did Not Always Calculate Physician Supplemental Payments Made to the Texas Tech University Health Institutions in Accordance With Federal and State Requirements

  • Texas Did Not Appropriately Spend Some State Balancing Incentive Payments Program Funds

  • Georgia Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers

  • The Food and Drug Administration's Food-Recall Process Did Not Always Ensure the Safety of the Nation's Food Supply

  • New York Did Not Comply With Federal Grant Requirements for Allocating and Claiming Marketplace Contract Costs

  • Tennessee Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death

  • Indiana Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements

  • Nebraska Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

  • The Administration for Children and Families Region X Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements

  • Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates

  • The Administration for Children and Families Did Not Always Resolve American Indian and Alaska Native Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements

  • Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs

  • Some Massachusetts Group Homes for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements

  • Texas Did Not Bill Manufacturers for Some Rebates for Pharmacy Drugs of Medicaid Managed-Care Organizations

  • Office of Refugee Resettlement Unaccompanied Alien Children Grantee Review—His House

  • Pine Bluff Jefferson County Economic Opportunities Commission Did Not Always Operate Its Head Start Program in Accordance With Federal Requirements

  • Not All of Missouri's Child Care Subsidy Program Payments Complied With Federal and State Requirements