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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 March 26, 2026

1,162

Unimplemented
recommendations

3,267

Implemented and Closed
recommendations
since FY 2017

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OIG Recommendations Grouped by Report

Showing 1,121–1,140 of 1,376 reports, containing 4,429 recommendations Sorted by latest release date
  • New York Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries

  • Wisconsin Physicians Service Insurance Corporation Did Not Claim Some Allowable Medicare Pension Costs

  • Wisconsin Physicians Service Insurance Corporation Understated Its Allocable Pension Costs

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

  • 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