Department of Health & Human Services

IHS provides comprehensive Federal health services to approximately 2.6 million American Indians and Alaska Natives. OIG and others have found significant problems in the quality of care and oversight of IHS hospitals. This study identifies underlying organizational challenges that may hamper IHS's...

OIG administers Medicaid Fraud Control Unit (MFCU) grant awards, annually recertifies each MFCU, and oversees MFCU performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of MFCUs and prepares public reports. These onsite reviews...

The Child Care and Development Block Grant Act of 2014 (CCDBG Act) added new requirements for States receiving Child Care and Development Fund (CCDF) money to conduct comprehensive criminal background checks on staff members and prospective staff members of childcare providers every 5 years. States...

The objective of this report is to summarize key findings identified in 2013 reports and in 2016 followup reports produced by 13 Federal agency Offices of Inspectors General (OIGs) regarding original and derivative classification and Classified National Security Information (CNSI) program management...

In 2012, we issued a report to the Centers for Medicare & Medicaid Services (CMS) indicating that during 2009, Medicare Part D paid for prescription drugs that likely should have been paid for by hospice organizations under the Medicare Part A hospice benefit. We matched Part A and Part D data to...

Background checks are an important safety measure that can help protect the 9 million beneficiaries who rely on long-term-care services each year for safe, dependable care. These checks can prevent individuals with disqualifying histories (e.g., convictions for patient abuse, patient neglect, and...

The Social Security Act requires that each Medicare administrative contractor (MAC) have its information security program evaluated annually by an independent entity. The Centers for Medicare & Medicaid Services (CMS) contracted with Guidehouse, LLP (Guidehouse), to evaluate information security...

The Administration for Children and Families' (ACF's) oversight of the Low-Income Home Energy Assistance Program (LIHEAP) did not ensure that grant funds were (1) used to provide the maximum available LIHEAP benefits to eligible households and (2) consistently administered in accordance with Federal...

In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in long-term care facilities (commonly referred to as nursing homes). Updates...

The Patient Protection and Affordable Care Act gave States the option to expand Medicaid coverage to low-income adults without dependent children and established enhanced Federal reimbursement rates (Federal Medical Assistance Percentage, or FMAP) for services provided to beneficiaries enrolled...