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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—a subset that we think, if implemented, would have the most impact (learn more). Notable differences from our previous Top Unimplemented Recommendations report include:

  • The list is comprised of individual recommendations from OIG reports, not rolled up by topic.
  • No arbitrary cap is imposed on the number of recommendations included.
  • Status updates as recommendations are implemented.

Summary of All Recommendations

Updated Monthly · Last updated on June 17, 2025

1,188

Unimplemented
recommendations

3,006

Implemented and Closed
recommendations
since FY 2017

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OIG Recommendations Grouped by Report

Showing 1–20 of 1,282 reports, containing 4,194 recommendations Sorted by latest release date
  • Maine Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

  • Eleven of Thirty Selected Hospitals Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments

  • Ten of Thirty Selected Nursing Facilities Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Coventry Health and Life Insurance Company (Contract H1608) Submitted to CMS

  • HHS’s Grant Payment System Lacked Effective Internal Controls To Prevent $7.8 Million in Fraud, and HHS Has Begun Taking Corrective Actions To Reduce Fraud Risk

  • Indian Health Service's Controls Over Sanitation Facilities Construction Program Projects Funded Under the Infrastructure Investment and Jobs Act Could Be Improved

  • FDA Food Safety Inspections of Domestic Food Facilities

  • CMS Use of Staffing Data To Inform State Oversight of Nursing Homes

  • California Medicaid Fraud Control Unit: 2023 Inspection

  • Medicare Payments for Evaluation and Management Services Provided on the Same Day as Eye Injections Were at Risk for Noncompliance With Medicare Requirements

  • Minnesota Could Better Ensure That Childcare Assistance Providers Comply With Attendance Requirements

  • Maryland Did Not Comply With Federal Waiver and State Requirements at 20 Adult Day Care Facilities Audited

  • CMS Is Not Systematically Tracking Whether States Return Federal Shares of Medicaid Managed Care Remittances

  • Risk Assessment of the Administration for Community Living’s Travel Card Program for Fiscal Year 2022

  • Ohio Did Not Comply With Federal Waiver and State Requirements at 18 of 19 Adult Day Care Facilities Audited

  • Risk Assessment of the Administration for Community Living’s Purchase Card Program for Fiscal Year 2022

  • Most Institutions That Received NIH Funding Did Not Fully Understand When They Must Report Monetary Donations

  • SAMHSA’s FindTreatment.gov Contained Some Inaccurate Information on Substance Use and Mental Health Treatment Facilities

  • Medicare Administrative Contractors Did Not Consistently Meet Medicare Cost Report Oversight Requirements

  • State Survey Agencies Need Additional Guidance to Assess Nursing Home Emergency Preparedness Programs