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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

The Substance Abuse and Mental Health Services Administration Followed Grant Regulations and Program-Specific Requirements When Awarding State Targeted Response to the Opioid Crisis Grants

2019
A-03-17-03302
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Substance Abuse and Mental Health Services Administration (SAMHSA) awarded State Targeted Response to the Opioid Crisis (Opioid STR) grants to States and territories to use for programs that address opioid addiction. The 21st Century Cures Act allowed SAMHSA to award $1 billion in funding, half...

Medicare Market Shares of Mail Order Diabetes Test Strips From April Through June 2018

2019
OEI-04-18-00440
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 required CMS to phase in a Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies. In July 2008, mail-order diabetes test strips became part of the Competitive Bidding Program in...

Pathways for Children Generally Complied With Health and Safety Requirements

2019
A-01-18-02502
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Pathways for Children, Inc. (Pathways), generally complied with Federal and State requirements by establishing systems of health and safety practices and management for ensuring the health and safety of children in its Head Start program. While we observed instances of noncompliance with select...

Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces

2019
A-09-17-03027
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

From January 1, 2015, through March 31, 2017 (audit period), Pacific Medical, Inc., which is located in Tracy, California, did not always comply with Medicare requirements when billing for selected orthotic braces (i.e., back, knee, and ankle-foot braces). For 89 of the 100 sampled claims, Pacific...

Dialysis Services Provided by Atlantis Health Care Group of Puerto Rico, Inc., Did Not Comply With Medicare Requirements Intended To Ensure the Quality of Care Provided to Medicare Beneficiaries

2019
A-02-16-01009
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Atlantis Health Care Group of Puerto Rico, Inc., claimed dialysis services that did not comply with Medicare requirements during all 100 beneficiary-months that we sampled. (A beneficiary-month was defined as all dialysis services provided to a Medicare beneficiary during 1 calendar month.) For...

Weill Cornell Medicine Monitored Subrecipients and Claimed Allowable National Institutes of Health Award Costs

2019
A-02-17-02006
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Weill Cornell Medicine awarded subawards and monitored subaward recipients in compliance with National Institutes of Health (NIH) grant polices and Federal regulations. In addition, as both a prime recipient and a subrecipient of NIH funds, Weill Cornell claimed allowable expenditures on subawards...

Recommendation Followup: Vulnerabilities Continue To Exist in the HHS Small Business Innovation Research Program

2019
OEI-04-18-00230
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted this review to determine whether the Department of Health and Human Services (HHS) had addressed known vulnerabilities in its oversight of the Small Business Innovation Research (SBIR) program to ensure that program funds were being spent appropriately. In 2014, we reported...

Michigan Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect or Improve Care for Nursing Facility Residents

2019
A-05-17-00019
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Michigan expended almost two-thirds of the $3.6 million in civil monetary penalty (CMP) collections during our audit period, reimbursing organizations $2.3 million for activities that protected or improved the quality of care for nursing facility residents. However, it did not fully use available...

Factsheet: West Virginia's Oversight of Opioid Prescribing and Monitoring of Opioid Use Audit

2019
A-03-18-03302
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 West Virginia. This factsheet shows West Virginia's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, programs...

Lincoln Hall Boys' Haven, an Administration for Children and Families Grantee, Did Not Always Comply With Applicable Federal and State Policies and Requirements

2019
A-02-16-02007
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Lincoln Hall Boys' Haven (Lincoln Hall), an Unaccompanied Alien Children (UAC) grantee located in Lincolndale, New York, did not meet or properly document that it met certain safety requirements for the care and release of children in its custody. Further, it could not identify actual expenditures...

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