Sorry, you need to enable JavaScript to visit this website.
Skip to main content
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

A-06-17-07007

2019
A-06-17-07007
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

BCFS Health and Human Services Did Not Always Comply With Federal and State Requirements Related to the Health and Safety of Unaccompanied Alien Children

The National Institutes of Health Generally Complied With Federal Requirements for the Preparation and Receipt of Select Agent Shipments

2019
A-03-15-00354
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The National Institutes of Health (NIH) is one of several Federal agencies that ship and receive select agents. In 2015, another Federal agency found that one of its facilities had inadvertently shipped live Bacillus anthracis, a select agent which causes the deadly disease anthrax, to 194...

California Made Medicaid Payments on Behalf of Non-Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements

2019
A-09-17-02002
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Historically, only certain groups of individuals who had incomes and assets below certain thresholds were eligible for Medicaid (traditional coverage groups). After the passage of the Patient Protection and Affordable Care Act (ACA), many beneficiaries remained eligible under these traditional...

Payments Made by National Government Services, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements

2019
A-02-16-01007
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Intensity-modulated radiation therapy (IMRT) is an advanced type of radiation procedure used to treat difficult-to-reach tumors. National Government Services, Inc. (NGS), the Medicare Administrative Contractor responsible for processing Medicare payments for outpatient services in Jurisdictions 6...

Texas Claimed Community First Choice Fee-for-Service Expenditures Appropriately

2019
A-06-17-08002
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Texas claimed Community First Choice Fee-for-Service (CFC FFS) expenditures appropriately, with minimal errors. Specifically, Texas inappropriately paid for both CFC FFS claims, totaling $116,973 ($73,845 Federal share), and managed care payments for beneficiaries during the same months.

Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria— Fiscal Year 2019 Inspectors General Coordinated Oversight Plan

2019
Other
Department of Health & Human Services OIG
Department of Health & Human Services

For the fiscal year (FY) 2019 coordinated audit plan, the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), requests $1.5 million to conduct program integrity and fraud prevention activities for the President's Emergency Plan for AIDS Relief (PEPFAR) program. The...

Indiana Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs

2019
A-05-17-00038
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Indiana did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. Indiana did not invoice manufacturers for rebates associated with $710,420 (Federal share) in physician-administered drugs. Of this amount, $695,070 was for...

Factsheet: Texas' Oversight of Opioid Prescribing and Monitoring of Opioid Use

2019
A-06-18-04000
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 Texas. This factsheet shows Texas' responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, outreach, programs, and...

Factsheet: Washington State's Oversight of Opioid Prescribing and Monitoring of Opioid Use Audit

2019
A-09-18-02001
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 Washington State. This factsheet shows Washington State's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics...

The Health Resources and Services Administration Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk

2019
A-04-18-02015
Disaster Recovery Report
Department of Health & Human Services OIG
Department of Health & Human Services

Our objectives were to identify the Health Resources and Services Administration (HRSA's) potential risks for preparing for and responding to hurricanes and other natural disasters and to determine whether HRSA has designed and implemented controls and strategies to mitigate these potential risks.

Subscribe to Department of Health & Human Services OIG