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
Views
OIG Recommendations Grouped by Report
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Hoveround Corporation Claimed Millions in Federal Reimbursement for Power Mobility Devices That Did Not Meet Medicare Requirements
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Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012
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Total Sleep Management, Inc., Billed Medicare for Unallowable Sleep Study Services
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CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services
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The Medicare Payment System for Skilled Nursing Facilities Needs To Be Reevaluated
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Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports
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National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments
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Some of New Jersey's Claims for Medicaid Personal Care Services Did Not Comply With Federal and State Requirements
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Providers Did Not Always Reconcile Patient Records With Credit Balances and Report and Return the Associated Medicaid Overpayments to State Agencies
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Missouri Claimed Unallowable and Unsupported Medicaid Payments for Group Home Habilitation Services
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Arkansas Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals
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Illinois Improperly Claimed Medicaid Reimbursement for Optical Services and Supplies
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Advanced Chiropractic Services Received Unallowable Medicare Payments for Chiropractic Services
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New Jersey Claimed Medicaid Hospice Services That Were Not in Compliance With Federal and State Requirements
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Missouri Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs
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Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments
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Maryland Misallocated Millions to Establishment Grants for a Health Insurance Marketplace
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National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 8
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Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates
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New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims in Ulster County