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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
Views
OIG Recommendations Grouped by Report
-
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
25-A-01-072.01We recommend that the Maine Department of Health and Human Services follow up with the 16 ICF/IIDs to verify that they have taken corrective actions on the life safety, emergency preparedness, and infection control deficiencies identified during the audit.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/11/2025
- Legislative Related
- No
25-A-01-072.02We recommend that the Maine Department of Health and Human Services conduct surveys at ICF/IIDs at least every 15 months as required by CMS.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/11/2025
- Legislative Related
- No
25-A-01-072.03We recommend that the Maine Department of Health and Human Services work with CMS to develop standardized life safety training for ICF/IID staff.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/11/2025
- Legislative Related
- No
-
Eleven of Thirty Selected Hospitals Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments
25-A-02-071.01We recommend that the Health Resources and Services Administration require the 10 hospitals that we determined as having used PRF payments for unallowable expenditures totaling $63 million to return the unallowable amounts to the Federal Government or ensure that the hospitals properly replace the unallowable expenditures with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $63,037,416.58
- Last Update Received
- -
- Next Update Expected
- 12/10/2025
- Legislative Related
- No
25-A-02-071.02We recommend that the Health Resources and Services Administration require the 2 hospitals that we determined as having inaccurately calculated and reported lost revenues totaling $645.6 million to identify and return to the Federal Government any PRF payments used to offset inaccurately calculated lost revenues or replace them with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $645,553,400.59
- Last Update Received
- -
- Next Update Expected
- 12/10/2025
- Legislative Related
- No
-
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
25-A-05-070.01We recommend that the Health Resources and Services Administration require the eight nursing facilities that we determined as having used PRF payments for unallowable expenditures and lost revenues totaling $2,256,504 to return the unallowable amounts to the Federal Government or ensure that the nursing facilities properly replace the unallowable expenditures and lost revenues with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $2,256,504
- Last Update Received
- -
- Next Update Expected
- 12/08/2025
- Legislative Related
- No
25-A-05-070.02We recommend that the Health Resources and Services Administration work with the three nursing facilities that we determined as having used PRF payments for potentially unallowable expenditures totaling $332,562 to identify and return the unallowable amounts to the Federal Government or ensure that the nursing facilities properly replace the unallowable expenditures with allowable unreimbursed lost revenues or eligible expenses, if any.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Not Yet Due
- Potential Savings
- $332,562
- Last Update Received
- -
- Next Update Expected
- 12/08/2025
- Legislative Related
- No
-
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Coventry Health and Life Insurance Company (Contract H1608) Submitted to CMS
25-A-02-069.01We recommend that Coventry Health and Life Insurance Company refund to the Federal Government the $6,995,522 of estimated net overpayments.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $6,995,522
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-02-069.02We recommend that Coventry Health and Life Insurance Company identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred after our audit period and refund any resulting overpayments to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-02-069.03We recommend that Coventry Health and Life Insurance Company continue to examine its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
-
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
25-A-18-068.01Implement a control environment that includes fraud mitigation, in accordance with GAO's A Framework for Managing Fraud Risks in Federal Programs.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-18-068.02Develop standard operating procedures (SOP) that: a. specify how risk and vulnerabilities to the Payment System will be regularly assessed and tested, b. include Payment System escalation and information dissemination protocols that should be followed when a fraud incident is identified, and c. specify verification processes for all bank accounts.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-18-068.03Implement automated verification processes for bank account information changes.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-18-068.04Finalize the bank account verification process with the Department of the Treasury for U.S. based bank accounts.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-18-068.05Conduct information system level risk assessments that include integration of fraud risk in accordance with NIST guidance for all PSC financial management systems.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
25-A-18-068.06Effectively implement controls for: a. conducting required IT system vulnerability scans, reviews, and approvals; and b. performing timely mitigation of Payment System weaknesses.- Status
- Open Unimplemented
- Responsible Agency
- OS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 12/02/2025
- Legislative Related
- No
-
Indian Health Service's Controls Over Sanitation Facilities Construction Program Projects Funded Under the Infrastructure Investment and Jobs Act Could Be Improved
25-A-05-067.01We recommend that the Indian Health Service consider additional project prioritization procedures to fund the highest priority SFC projects based on readiness.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-A-05-067.02We recommend that the Indian Health Service reinforce compliance with established procedures for recording and documenting projects in the SDS prior to funding them.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-A-05-067.03We recommend that the Indian Health Service validate the eligibility of homes and users by regularly reviewing and updating the HITS data.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-A-05-067.04We recommend that the Indian Health Service strengthen documentation controls to appropriately ensure that all information is entered in the SDS to identify the ineligible portion of Tier 1 construction projects.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-A-05-067.05We recommend that Indian Health Service develop formal guidance for the proration of Tier 1 design costs and Tier 2 and 3 planning costs between eligible and ineligible homes or users.- Status
- Open Unimplemented
- Responsible Agency
- IHS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
-
FDA Food Safety Inspections of Domestic Food Facilities
25-E-02-031.01FDA should increase the number of facilities inspected each year and ensure that all facilities are inspected within the required timeframes.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-E-02-031.02FDA should improve methods for identifying facilities that are not in operation to make better use of resources.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-E-02-031.03FDA should assess reasons for the decrease in number of facilities inspected by FDA with significant violations and take action as appropriate.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
25-E-02-031.04FDA should conduct timely followup inspections of facilities with significant violations.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/29/2025
- Legislative Related
- No
-
CMS Use of Staffing Data To Inform State Oversight of Nursing Homes
25-E-04-030.01CMS should inform States of nursing homes that appear from PBJ data to violate the required number of daily RN staffing hours.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/28/2025
- Legislative Related
- No
25-E-04-030.02CMS should provide States additional nursing home staffing analysis and guidance to identify potential insufficient staffing.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/28/2025
- Legislative Related
- No
-
California Medicaid Fraud Control Unit: 2023 Inspection
25-E-06-029.01Refund the Federal grant for the unsupported costs, excess purchases, and improperly claimed indirect costs.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- $37,207
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.02Build upon its efforts to recruit and retain qualified staff.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.03Update its periodic supervisory review policies to reflect current operations and develop a process to ensure that its policies and procedures manual is current.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.04Build upon its efforts to increase fraud referrals from the Department of Health Care Services' program integrity unit and the managed care organizations.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.05Work with the Department of Health Care Services to improve the Unit's access to and the quality of Medicaid claims data.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.06Report all convictions and adverse actions to Federal partners within the appropriate timeframes.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
25-E-06-029.07Implement policies and procedures to ensure effective fiscal control of its funds, property, and other assets.- Status
- Open Unimplemented
- Responsible Agency
- MFCU
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/27/2025
- Legislative Related
- No
-
Medicare Payments for Evaluation and Management Services Provided on the Same Day as Eye Injections Were at Risk for Noncompliance With Medicare Requirements
25-A-09-066.01We recommend that the Centers for Medicare & Medicaid Services update Medicare requirements for billing E&M services provided on the same day as intravitreal injections to help providers understand the appropriate use of modifier 25 (e.g., clarify the definition of a "significant and separately identifiable" E&M service and identify the circumstances that allow for an E&M service to be billed on the same date of service as an intravitreal injection).- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/26/2025
- Legislative Related
- No
25-A-09-066.02We recommend that the Centers for Medicare & Medicaid Services conduct medical reviews of E&M services that were provided on the same day as intravitreal injections to determine whether these payments were improper and, consistent with relevant laws and the agency's policies and procedures, recover payments of up to $123,955,176 for E&M services that CMS determines should not have been billed with modifier 25 during our audit period, and instruct those providers to refund to enrollees any coinsurance amounts that may have been incorrectly collected from them or from someone on their behalf.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $123,955,176
- Last Update Received
- -
- Next Update Expected
- 11/26/2025
- Legislative Related
- No
25-A-09-066.03We recommend that the Centers for Medicare & Medicaid Services provide more education to providers on billing E&M services provided on the same day as intravitreal injections and the appropriate use of modifier 25 to help prevent improper payments for those services. For example, CMS could: (1) emphasize that the decision to perform an intravitreal injection is part of the minor surgical procedure and a separate E&M service should not be billed for that work; (2) provide a clear definition of a "significant and separately identifiable" E&M service that is "above and beyond" the usual care associated with an intravitreal injection; and (3) provide examples of E&M services that would be considered significant and separately identifiable and above and beyond the usual care associated with an intravitreal injection.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/26/2025
- Legislative Related
- No
-
Minnesota Could Better Ensure That Childcare Assistance Providers Comply With Attendance Requirements
25-A-05-065.01We recommend that the Minnesota Department of Human Services work with the childcare providers to collect, as appropriate, overpayments of CCAP claims identified by our audit.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/20/2025
- Legislative Related
- No
25-A-05-065.02We recommend that the Minnesota Department of Human Services strengthen its monitoring program to include routine reviews of CCAP attendance records for accuracy.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/20/2025
- Legislative Related
- No
25-A-05-065.03We recommend that the Minnesota Department of Human Services continue to take steps to automate childcare attendance records through real-time electronic reporting as recommended by the Minnesota Office of the Legislative Auditor.- Status
- Open Unimplemented
- Responsible Agency
- ACF
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/20/2025
- Legislative Related
- No
-
Maryland Did Not Comply With Federal Waiver and State Requirements at 20 Adult Day Care Facilities Audited
25-A-03-063.01We recommend that Maryland's Department of Health verify that providers correct the 253 instances of provider noncompliance identified in this report.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/14/2025
- Legislative Related
- No
25-A-03-063.02We recommend that Maryland's Department of Health improve its oversight and monitoring of providers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/14/2025
- Legislative Related
- No
25-A-03-063.03We recommend that Maryland's Department of Health collaborate with providers to enhance their facilities, staffing, and training.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/14/2025
- Legislative Related
- No
-
CMS Is Not Systematically Tracking Whether States Return Federal Shares of Medicaid Managed Care Remittances
25-E-03-027.01CMS should obtain the Federal shares of MLR remittances from States that failed to return these amounts to CMS for the 2017-2018 and 2018-2019 MLR reporting years.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- $85,117,345.79
- Last Update Received
- -
- Next Update Expected
- 11/12/2025
- Legislative Related
- No
25-E-03-027.02CMS should develop the capacity to systematically track and readily determine the amounts of the Federal shares of MLR remittances that States return to CMS.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/12/2025
- Legislative Related
- No
25-E-03-027.03CMS should improve internal communication to confirm that States return the Federal shares of the MLR remittance amounts reported annually to CMS.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/12/2025
- Legislative Related
- No
25-E-03-027.04CMS should routinely confirm that States return the Federal shares of State-reported MLR remittance amounts.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/12/2025
- Legislative Related
- No
25-E-03-027.05CMS should develop procedures to track (a) when each State is expected to return the required Federal shares of MLR remittances owed and (b) whether States have returned the Federal shares timely.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 11/12/2025
- Legislative Related
- No
-
Risk Assessment of the Administration for Community Living’s Travel Card Program for Fiscal Year 2022
25-A-04-062.01We recommend that ACL develop mitigating controls and strategies to address the high and moderate risks we identified.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 10/22/2025
- Legislative Related
- No
-
Ohio Did Not Comply With Federal Waiver and State Requirements at 18 of 19 Adult Day Care Facilities Audited
25-A-05-061.01We recommend that the Ohio Department of Medicaid ensure providers correct the 117 instances of provider noncompliance identified in this report.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 10/09/2025
- Legislative Related
- No
25-A-05-061.02We recommend that the Ohio Department of Medicaid improve its oversight and monitoring of all providers.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 10/09/2025
- Legislative Related
- No
25-A-05-061.03We recommend that the Ohio Department of Medicaid work with providers to improve their facilities, staffing, and training.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 10/09/2025
- Legislative Related
- No
-
Risk Assessment of the Administration for Community Living’s Purchase Card Program for Fiscal Year 2022
25-A-04-059.01We recommend that ACL develop mitigating controls and strategies to address the high and moderate risks we identified.- Status
- Open Unimplemented
- Responsible Agency
- ACL
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 10/06/2025
- Legislative Related
- No
-
Most Institutions That Received NIH Funding Did Not Fully Understand When They Must Report Monetary Donations
25-E-03-023.01NIH should clarify for NIH-funded institutions which monetary donations they must report to NIH as other support.- Status
- Open Unimplemented
- Responsible Agency
- NIH
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/29/2025
- Legislative Related
- No
-
SAMHSA’s FindTreatment.gov Contained Some Inaccurate Information on Substance Use and Mental Health Treatment Facilities
25-A-09-057.01We recommend that the Substance Abuse and Mental Health Services Administration work with the Contractor to strengthen procedures related to verifying facility information, such as validating a sample of facilities each year.- Status
- Open Unimplemented
- Responsible Agency
- SAMHSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/18/2025
- Legislative Related
- No
25-A-09-057.02We recommend that the Substance Abuse and Mental Health Services Administration improve the prominence of the statement on FindTreatment.gov about contacting the Contractor to report an issue with the information listed for a facility, such as placing the statement at the top of the page on the website and using a larger font size and a different color.- Status
- Open Unimplemented
- Responsible Agency
- SAMHSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/18/2025
- Legislative Related
- No
25-A-09-057.03We recommend that the Substance Abuse and Mental Health Services Administration work with the Contractor to implement additional system edits in the Survey to prevent facilities from submitting the Survey without completing all of the critical information fields.- Status
- Open Unimplemented
- Responsible Agency
- SAMHSA
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/18/2025
- Legislative Related
- No
-
Medicare Administrative Contractors Did Not Consistently Meet Medicare Cost Report Oversight Requirements
25-A-04-056.01We recommend that the Centers for Medicare & Medicaid Services provide MACs with a thorough explanation of the QASP results.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/17/2025
- Legislative Related
- No
25-A-04-056.02We recommend that the Centers for Medicare & Medicaid Services update the audit program to incorporate revised change requests and TDLs so MACs can obtain a better understanding of CMS expectations and be evaluated on current requirements.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/17/2025
- Legislative Related
- No
25-A-04-056.03We recommend that the Centers for Medicare & Medicaid Services offer MACs additional training and guidance, based on the results of their QASP, and include best practices used by MACs.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/17/2025
- Legislative Related
- No
-
State Survey Agencies Need Additional Guidance to Assess Nursing Home Emergency Preparedness Programs
25-E-04-020.01CMS should provide surveyors with instructions for how to assess the contents of nursing home emergency preparedness documentation as a part of the survey process.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/09/2025
- Legislative Related
- No
25-E-04-020.02CMS should issue guidance that encourages SAs to collaborate and share information.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Not Yet Due
- Potential Savings
- -
- Last Update Received
- -
- Next Update Expected
- 09/09/2025
- Legislative Related
- No