Department of Health & Human Services OIG

New York did not ensure that selected New York City providers (operating in Brooklyn, NY) that received funding from the Child Care and Development Fund complied with applicable State and local requirements related to the health and safety of children. We found potentially hazardous physical...

Nutritional Marasmus and other/unspecified severe protein-calorie malnutrition are two types of severe malnutrition listed in the International Classification of Diseases, Clinical Modification. Previous OIG reviews have determined that hospitals incorrectly billed for Kwashiorkor, a third type of...

The Medicaid program pays for nonemergency medical transportation (NEMT) services that a State determines to be necessary for beneficiaries to obtain care. Prior OIG audit reports have consistently identified NEMT services as vulnerable to fraud, waste, and abuse.

The Prescription Drug User Fee Act (PDUFA) of 1992, P.L. No. 102-571, authorized the Food and Drug Administration (FDA) to collect prescription drug user fees from pharmaceutical and biotechnology companies seeking FDA approval of certain human drug and biological products to expedite the review of...

Previous OIG reviews have identified Medicaid personal care services in New York as vulnerable to waste, fraud, and abuse. Based on these results, we decided to review New York's consumer-directed personal assistance program (CDPAP) services, which include personal care, home health, and nursing...

In its fiscal year (FY) 2010 Facilities and Administrative (F&A) cost proposal, the University of Alabama at Birmingham (UAB) included $8.6 million in chilled water costs that were not in accordance with Federal requirements that costs must be reduced by applicable credits. As a result, UAB’s...

Wisconsin Physicians Service Insurance Corporation did not claim $1.5 million of allowable Medicare pension costs on its incurred cost proposals for calendar years 2008 through 2013.

OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units' performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based...

Select agents and toxins are potential bioweapons that can cause significant loss of life and economic damage. Incidents of mishandling select agents and toxins by some entities registered with the Federal Select Agents Program (FSAP) have raised questions about CDC's Division of Select Agents and...

This toolkit provides detailed steps for using prescription drug claims data to analyze patients' opioid levels and identify certain patients who are at risk of opioid misuse or overdose. It is based on the methodology that OIG has developed in our extensive work on opioids.This new OIG product...