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 April 15, 2026
1,094
Unimplemented
recommendations
3,367
Implemented and Closed
recommendations since FY 2017
Views
OIG Recommendations Grouped by Report
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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
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Not All Children in Foster Care Who Were Enrolled in Medicaid Received Required Health Screenings
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New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims
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Acute-Care Hospitals in Ohio Did Not Always Reconcile Invoice Records With Credit Balances and Refund the Associated Medicaid Overpayments to the State Agency
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Federal Marketplace: Inadequacies in Contract Planning and Procurement
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The University of California at Irvine's Pilot Payroll Certification System Could Not Be Assessed
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Access to Care: Provider Availability in Medicaid Managed Care
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New Jersey Claimed Excessive Medicaid Disproportionate Share Hospital Payments for Five County-Operated Psychiatric Facilities
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Missouri Claimed Unallowable Medicaid Payments for Targeted Case Management Services Provided to Individuals With Developmental Disabilities
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Texas Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals
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State Standards for Access to Care in Medicaid Managed Care