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Abbreviation
HHSOIG
Agencies
Department of Health & Human Services
Federal Agency
Yes
Location

United States

What to Report to the OIG Hotline
The U.S. Department of Health and Human Services (HHS) Office of Inspector General's (OIG) mission is to protect the integrity of HHS programs as well as the health and welfare of program beneficiaries. In doing so, we rely on complaints by HHS employees, contractors, subcontractors, grantees and subgrantees (i.e. whistleblowers) who report fraud, waste, abuse or mismanagement in HHS programs. We also review and investigate reports of whistleblower retaliation. If you would like more information on what kinds of complaints our OIG investigates, please visit our website at https://oig.hhs.gov/fraud/report-fraud/before-you-submit.asp. There you will find a list of things you should know before submitting a complaint to the OIG. If you would like more information on the types of whistleblowers protected by the OIG, please visit our whistleblower protection page at https://oig.hhs.gov/fraud/report-fraud/whistleblower.asp. If you are a whistleblower and wish to report fraud, waste, abuse or mismanagement in HHS programs, or you wish to report whistleblower retaliation, please visit our Hotline at https://oig.hhs.gov/fraud/report-fraud/index.asp.
What Not to Report to the OIG Hotline
  • Issues about Medicare policy, coverage, billing claims or appeals
  • Lost or stolen Medicare card
  • Allegations by HHS employees of discrimination on the basis of race, gender, ethnicity, religion or sexual preference
  • Allegations by employees or applicants concerning prohibited personnel practices; or Hatch Act violations
  • Appeals of administrative decisions made by HHS agencies, grantees or contractors, including Medicare payment decisions and contract or grant awards
  • Appeals of judicial decisions by federal or state courts involving HHS programs
  • Complaints of failure to safeguard medical information, i.e. HIPAA violations
  • Customer service complaints involving HHS employees, grantees or contractors
  • Allegations of identity theft unrelated to HHS programs
  • Disability fraud
  • SNAP/Food Stamp Fraud
  • Self-Disclosures

Changes Made to States' Medicaid Programs To Ensure Beneficiary Access to Prescriptions During the COVID-19 Pandemic

2022
A-06-20-04007
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Pandemic

On March 13, 2020, the President of the United States declared that the COVID-19 pandemic was a national emergency. That same day, in accordance with section 1135(b) of the Social Security Act (the Act), the Secretary of HHS invoked his authority to waive or modify certain requirements of Titles...

DOJ and Federal Way, Washington doctor settle False Claims Act allegations over drug testing

DOJ and Federal Way, Washington doctor settle False Claims Act allegations over drug testing
Article Type
Investigative Press Release
Publish Date

DOJ and Federal Way, Washington doctor settle False Claims Act allegations over drug testing Seattle – The U.S. Department of Justice and a Federal Way, Washington general-practice doctor have settled allegations that the doctor billed government health programs for urine drug tests that were never,,,

NC Pharmacy Operator Pleads Guilty to Conspiracy to Fraudulently Bill Medicare, Medicaid and Private Insurance Companies

NC Pharmacy Operator Pleads Guilty to Conspiracy to Fraudulently Bill Medicare, Medicaid and Private Insurance Companies
Article Type
Investigative Press Release
Publish Date

NC Pharmacy Operator Pleads Guilty to Conspiracy to Fraudulently Bill Medicare, Medicaid and Private Insurance Companies WILMINGTON, N.C. – A Pembroke woman pleaded guilty today to Conspiracy to Commit Healthcare Fraud. According to court documents, Melisha Oxendine West pleaded guilty to Conspiracy,,,

Diabetic Shoe Company Agrees to Pay $5.5 Million to Resolve False Claims Act Allegations Regarding “Custom” Shoe Inserts

Diabetic Shoe Company Agrees to Pay $5.5 Million to Resolve False Claims Act Allegations Regarding “Custom” Shoe Inserts
Article Type
Investigative Press Release
Publish Date

Diabetic Shoe Company Agrees to Pay $5.5 Million to Resolve False Claims Act Allegations Regarding “Custom” Shoe Inserts Miami, Florida – Foot Care Store, Inc. d/b/a Dia-Foot (Dia-Foot), a diabetic shoe company based in Wellington, Florida, and its President and CEO Robert Gaynor, have agreed to pay,,,

Surgery Centers and Medical Offices in New Jersey Settle Allegations of Federal Health Care Fraud

Surgery Centers and Medical Offices in New Jersey Settle Allegations of Federal Health Care Fraud
Article Type
Investigative Press Release
Publish Date

Surgery Centers and Medical Offices in New Jersey Settle Allegations of Federal Health Care Fraud Breon Peace, United States Attorney for the Eastern District of New York, Scott J. Lampert, Special Agent-in-Charge, U.S. Department of Health and Human Services, Office of the Inspector General, New,,,

Bowie, Maryland Nurse Practitioner Pleads Guilty to Conspiracy to Distribute and Dispense Oxycodone

Bowie, Maryland Nurse Practitioner Pleads Guilty to Conspiracy to Distribute and Dispense Oxycodone
Article Type
Investigative Press Release
Publish Date

Bowie, Maryland Nurse Practitioner Pleads Guilty to Conspiracy to Distribute and Dispense Oxycodone Greenbelt, Maryland – Justina Aburime, age 53, of Bowie, Maryland, pleaded guilty today to one count of conspiracy to distribute and dispense oxycodone and one count of distribution and dispensing of,,,

Man Sentenced to 25 Years in Prison for Sex-Trafficking During Miami Super Bowl

Man Sentenced to 25 Years in Prison for Sex-Trafficking During Miami Super Bowl
Article Type
Investigative Press Release
Publish Date

Man Sentenced to 25 Years in Prison for Sex-Trafficking During Miami Super Bowl Miami, Florida – A New Haven, Connecticut man who coerced two women and a girl into selling themselves for sex in Miami during Super Bowl LIV was sentenced yesterday in Ft. Lauderdale, Florida to 25 years’ imprisonment,,,

Multiple Individuals Sentenced to Federal Prison for a Money Laundering Conspiracy

Multiple Individuals Sentenced to Federal Prison for a Money Laundering Conspiracy
Article Type
Investigative Press Release
Publish Date

Multiple Individuals Sentenced to Federal Prison for a Money Laundering Conspiracy Miami, Florida – Two Miami residents, Reinier Gonzalez Caballero age 39, and Alexeis Napoles Manresa, age 37, were each sentenced yesterday to 51 months in federal prison for their role in a money laundering,,,

North Carolina Physician Indicted for Adulterating Medical Devices for Reuse on Patients, Fabricating Records, and Other Charges

North Carolina Physician Indicted for Adulterating Medical Devices for Reuse on Patients, Fabricating Records, and Other Charges
Article Type
Investigative Press Release
Publish Date

North Carolina Physician Indicted for Adulterating Medical Devices for Reuse on Patients, Fabricating Records, and Other Charges RALEIGH, N.C. – A federal grand jury returned an indictment today charging a Raleigh woman with Adulteration of Medical Devices, Paying Illegal Remunerations, Making and,,,

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