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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 October 17, 2024

1,328

Unimplemented
recommendations

$265.9B

Potential savingsfrom unimplemented recommendations

2,656

Implemented and Closed
recommendations since FY 2017

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OIG Recommendations Grouped by Report

Showing 101–120 of 1,216 reports, containing 3,984 recommendations Sorted by latest release date

  • Some of California's Substance Abuse Prevention and Treatment Block Grant Expenditures for Los Angeles County Did Not Comply With Federal and State Requirements

    Audit
    A-09-21-01001
    HHS Agency
    SAMHSA
    Issued
    11/17/2023

  • Kentucky Experienced Challenges in Meeting Federal and State Foster Care Program Requirements During the COVID-19 Pandemic

    Audit
    A-06-22-07001
    HHS Agency
    ACF
    Issued
    11/14/2023

  • CMS Can Do More To Leverage Medicare Claims Data To Identify Unreported Incidents of Potential Abuse or Neglect

    Audit
    A-01-22-00501
    HHS Agency
    CMS
    Issued
    11/08/2023

  • Pennsylvania Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

    Audit
    A-03-22-00206
    HHS Agency
    CMS
    Issued
    11/08/2023

  • The Food and Drug Administration Needs To Improve the Premarket Tobacco Application Review Process for Electronic Nicotine Delivery Systems To Protect Public Health

    Audit
    A-06-22-01002
    HHS Agency
    FDA
    Issued
    11/08/2023

  • Noridian Healthcare Solutions Reopened and Corrected Cost Report Final Settlements To Collect $11 Million in Net Overpayments That Had Been Made to Medicare Providers

    Audit
    A-06-22-05000
    HHS Agency
    CMS
    Issued
    11/01/2023

  • HHS's Oversight of Automatic Provider Relief Fund Payments Was Generally Effective but Improvements Could Be Made

    Audit
    A-02-20-01025
    HHS Agency
    HRSA
    Issued
    10/30/2023

  • Medicare Advantage Compliance Audit of Diagnosis Codes That CarePlus Health Plans, Inc. (Contract H1019) Submitted to CMS

    Audit
    A-04-19-07082
    HHS Agency
    CMS
    Issued
    10/26/2023

  • New York City Department of Health and Mental Hygiene Charged Some Unallowable Costs to Its CDC COVID-19 Award

    Audit
    A-04-22-02035
    HHS Agency
    CDC
    Issued
    10/26/2023

  • CDC's Internal Control Weaknesses Led to Its Initial COVID-19 Test Kit Failure, but CDC Ultimately Created a Working Test Kit

    Audit
    A-04-20-02027
    HHS Agency
    CDC
    Issued
    10/24/2023

  • States Face Ongoing Challenges in Meeting Third-Party Liability Requirements for Ensuring That Medicaid Functions as the Payer of Last Resort

    Audit
    A-05-21-00013
    HHS Agency
    CMS
    Issued
    10/20/2023

  • South Dakota MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed

    Audit
    A-18-21-09004
    HHS Agency
    CMS
    Issued
    10/18/2023

  • Mississippi Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations

    Audit
    A-07-21-06103
    HHS Agency
    CMS
    Issued
    10/18/2023

  • The Strategic National Stockpile Was Not Positioned To Respond Effectively to the COVID-19 Pandemic

    Audit
    A-04-20-02028
    HHS Agency
    ASPR
    Issued
    10/16/2023

  • Medicare Could Save Millions if It Implements an Expanded Hospital Transfer Payment Policy for Discharges to Postacute Care

    Audit
    A-01-21-00504
    HHS Agency
    CMS
    Issued
    10/06/2023

  • Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Aetna, Inc. (Contract H5521) Submitted to CMS

    Audit
    A-01-18-00504
    HHS Agency
    CMS
    Issued
    10/02/2023

  • New Jersey Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

    Audit
    A-02-22-01004
    HHS Agency
    CMS
    Issued
    09/29/2023

  • Biosimilars Have Lowered Costs for Medicare Part B and Enrollees, but Opportunities for Substantial Spending Reductions Still Exist

    Evaluation
    OEI-05-22-00140
    HHS Agency
    CMS
    Issued
    09/26/2023

  • District of Columbia Medicaid Fraud Control Unit: 2022 Onsite Review

    Evaluation
    OEI-06-22-00420
    HHS Agency
    MFCU
    Issued
    09/26/2023

  • Many Medicaid Enrollees with Opioid Use Disorder Were Treated with Medication; However, Disparities Present Concerns

    Evaluation
    OEI-BL-22-00260
    HHS Agency
    CMS
    Issued
    09/25/2023