More Charges Against State Lawmaker for $900,000 COVID-19 Fraud Scheme at Springfield Health Care Charity
Article Type
Investigative Press Release
Publish Date
Logo
Website
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
Hotline Page
Whistleblower Protection Page
Rural/Metro Corporation Agrees To Pay $650,000 To Settle Civil False Claims Relating To Ambulance Services
Article Type
Investigative Press Release
Publish Date
Virginia’s Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 8 of 30 Providers Reviewed
2021
A-03-19-00253
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
The Child Care and Development Block Grant Act (CCDBG Act) of 2014 added new requirements for States receiving funding from the Child Care and Development Fund (CCDF) to conduct comprehensive criminal background checks on staff members and prospective staff members of child care providers every 5...
Vermont Did Not Always Invoice Rebates To Manufacturers For Physician-Administered Drugs
2020
A-07-19-06086
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
For a covered outpatient drug to be eligible for Federal reimbursement under the Medicaid program’s drug rebate requirements, manufacturers must pay rebates to the States for the drugs. However, a prior OIG review found that States did not always invoice and collect all rebates due for drugs...
Texas Relied on Impermissible Provider-Related Donations To Fund the State Share of the Medicaid Delivery System Reform Incentive Payment Program
2020
A-06-17-09002
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Delivery System Reform Incentive Payment (DSRIP) Program payments are incentive payments made to hospitals and other providers that develop programs or strategies to enhance access to health care, increase the quality and cost-effectiveness of care, and increase the health of patients and families...
Oregon’s Oversight Did Not Ensure That Four Coordinated-Care Organizations Complied With Selected Medicaid Requirements Related to Access to Care and Quality of Care
2020
A-09-18-03035
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
The Medicaid Program and the State Agency’s Waiver The Medicaid program provides medical assistance to low-income individuals and individuals with disabilities. The Federal and State Governments jointly fund and administer the Medicaid program. At the Federal level, CMS administers the program...
Ohio Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program
2021
A-05-18-00004
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Ohio Made Capitation Payments to Managed Care Organizations for Medicaid Beneficiaries With Concurrent Eligibility in Another State
2021
A-05-19-00023
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
The Medicaid ProgramState Medicaid managed care programs are intended to increase access to and improve the quality of health care for Medicaid beneficiaries. States contract with an MCO to make services available to enrolled Medicaid beneficiaries, usually in return for a periodic payment, known as...
Ohio Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries
2021
A-05-18-00027
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
The Patient Protection and Affordable Care Act gave States the option to expand Medicaid coverage to low-income adults without dependent children. It also mandated changes to Medicaid eligibility rules and established a higher Federal reimbursement rate for services provided to these beneficiaries...
North Carolina Should Improve Its Oversight of Selected Nursing Homes’ Compliance With Federal Requirements for Life Safety and Emergency Preparedness
2020
A-04-19-08070
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
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 residents of long-term-care facilities (commonly called nursing homes). Updates included...