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
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The District of Columbia Claimed Some Day Treatment Program Services That Were Not in Compliance With Federal or District Requirements
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Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely-Failed Devices
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Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs
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The Turtle Mountain Band of Chippewa Indians Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2013
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Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations
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Challenges Remain in FDA's Inspections of Domestic Food Facilities
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Some Oklahoma Group Homes Did Not Always Comply With State Requirements
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CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals' Eligibility for Qualified Health Plans and Insurance Affordability Programs
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OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections
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Vulnerabilities Remain in Medicare Hospital Outlier Payments
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Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information
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New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments
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Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets
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Texas Improperly Received Medicaid Reimbursement for School-Based Health Services
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Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities
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Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program
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OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence
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Some Hospitals in Medicare Jurisdiction E Claimed Residents as More Than One Full-Time Equivalent
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Some Hospitals in Medicare Jurisdiction F Claimed Residents as More Than One Full-Time Equivalent
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First Coast Service Options, Inc., Understated Its Medicare Segment and Overstated Its Other Segment Allocable Postretirement Benefit Costs