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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

U.S. Attorney Carpenito, AG Grewal, Acting Comptroller Walsh, Announce Federal-State COVID-19 Fraud Task Force

U.S. Attorney Carpenito, AG Grewal, Acting Comptroller Walsh, Announce Federal-State COVID-19 Fraud Task Force
Article Type
Investigative Press Release
Publish Date

U.S. Attorney Carpenito, AG Grewal, Acting Comptroller Walsh, Announce Federal-State COVID-19 Fraud Task Force NEWARK, N.J. – U.S. Attorney Craig Carpenito, New Jersey Attorney General Gurbir S. Grewal, and New Jersey Acting State Comptroller Kevin D. Walsh today announced the formation of a joint,,,

Former Medical Employees Plead Guilty to Prescription Fraud Scheme

Former Medical Employees Plead Guilty to Prescription Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Former Medical Employees Plead Guilty to Prescription Fraud Scheme ALEXANDRIA, Va. – Two women pleaded guilty yesterday for their respective roles in helping run a “pill mill,” which led to the fraudulent dispensing of thousands of prescription opioid pills. According to court documents and,,,

U.S. Attorney Dunn To Lead Federal Effort To Protect Citizens Against Coronavirus Fraud; Urges Public To Report Suspicious Activity

U.S. Attorney Dunn To Lead Federal Effort To Protect Citizens Against Coronavirus Fraud; Urges Public To Report Suspicious Activity
Article Type
Investigative Press Release
Publish Date

U.S. Attorney Dunn To Lead Federal Effort To Protect Citizens Against Coronavirus Fraud; Urges Public To Report Suspicious Activity DENVER – At the direction of United States Attorney General William Barr, United States Attorney Jason Dunn has directed his office to prioritize the investigation and,,,

Jacksonville-Area Doctor Pays $850,000 To Settle Allegations She Received Illegal Kickbacks To Prescribe The Fentanyl Drug Subsys

Jacksonville-Area Doctor Pays $850,000 To Settle Allegations She Received Illegal Kickbacks To Prescribe The Fentanyl Drug Subsys
Article Type
Investigative Press Release
Publish Date

Jacksonville-Area Doctor Pays $850,000 To Settle Allegations She Received Illegal Kickbacks To Prescribe The Fentanyl Drug Subsys Jacksonville, FL – U.S. Attorney Maria Chapa Lopez announced today that Dr. Parveen Khanna has paid the United States $850,000 to resolve a civil False Claims Act,,,

Kansas Did Not Ensure That Group Homes for Children in Foster Care Complied With All State Health and Safety Requirements

2020
A-07-19-06087
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Congress has expressed concerns about the safety and well-being of children in foster care. Additionally, in a recent series of audits of State-monitored child care facilities in various States, we found that the majority of child care providers had instances of potentially hazardous conditions and...

Factsheet: Ohio's Oversight of Opioid Prescribing and Monitoring of Opioid Use

2020
A-05-19-00036
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in Ohio. This factsheet shows Ohio's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, programs, outreach, and...

The New York State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths

2020
A-04-19-06223
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

New York pays managed care organizations (MCOs) to make services available to enrolled Medicaid beneficiaries in return for a monthly fixed payment for each enrolled beneficiary (capitation payments). The New York Medicaid Assistance Program (New York Medicaid) is the second largest Medicaid program...

New Jersey's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 9 of 30 Providers Reviewed

2020
A-02-19-02004
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...

Utah's Monitoring Process Generally Ensured Child Care Provider Compliance With State Criminal Background Check Requirements

2020
A-07-19-06085
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 that receive 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...

On-Site Psychological Services, P.C.: Audit of Medicare Payments for Psychotherapy Services

2020
A-02-19-01012
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Medicare paid approximately $2.2 billion for psychotherapy services provided to Medicare beneficiaries nationwide during calendar years 2017 and 2018. Prior OIG audits and reviews found that Medicare had made millions of dollars in improper payments for mental health services, including...

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