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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

Opioid Use in Medicare Part D Remains Concerning

2018
OEI-02-18-00220
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

The opioid crisis was recently declared a public health emergency. In 2016, more than 42,000 opioid-related overdose deaths occurred in the United States-115 deaths per day. This data brief is part of a larger strategy by OIG to fight the opioid crisis and protect beneficiaries from prescription...

Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children

2018
A-09-16-01005
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Florence Crittenton Services of Orange County, Inc. (Crittenton), located in Fullerton, California, met most of the applicable safety standards for the care and release of children in its custody. However, Crittenton released some children to sponsors without conducting all required background...

Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

2018
A-04-17-08052
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Florida Agency for Health Care Administration did not always verify nursing homes’ correction of deficiencies identified during surveys in calendar year 2015 in accordance with Federal requirements. For the 100 sampled deficiencies, the State agency verified the correction of 82 nursing home...

Wisconsin Physicians Service Insurance Corporation Understated Medicare’s Share of the Medicare Segment Excess Pension Assets

2018
A-07-17-00529
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Wisconsin Physicians Service Insurance Corporation understated Medicare’s share of the surplus of Medicare segment pension assets by $17.7 million.

U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2017

2018
A-17-18-52000
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Office of Inspector General (OIG) must review the Department of Health and Human Services (HHS) compliance with the Improper Payments Information Act of 2002 (IPIA; P.L. No. 107-300) as amended by the Improper Payments Elimination and Recovery Act of 2010 (P.L. No. 111-204) and the Improper...

Colorado Did Not Always Comply With Federal Requirements When Expending Federal Establishment Grant Funds Allocated for Its Shared Eligibility System Costs

2018
A-07-16-02804
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Connect for Health Colorado (Colorado marketplace), the health insurance exchange established by the State of Colorado under the provisions of the Patient Protection and Affordable Care Act, did not always comply with Federal requirements when expending Federal establishment grant funds allocated...

Illinois Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements

2018
A-05-17-00047
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Illinois implemented most of the new criminal background check requirements established under the Child Care and Development Block Grant Act. However, certain criminal background check requirements for childcare providers remained unimplemented as of March 1, 2018, and significant challenges may...

Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

2018
A-07-17-03224
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Nebraska did not always verify nursing homes’ correction of deficiencies identified during surveys in calendar year (CY) 2016 in accordance with Federal requirements. We estimated that Nebraska did not obtain or maintain the nursing homes’ evidence verifying correction of deficiencies for 866 (92...

Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care

2018
A-05-16-00022
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Ohio did not always comply with State requirements for maintaining documentation that Title IV-E-eligible children residing in group homes received required case management services and that case workers were qualified to provide those services. As a result, Ohio did not always have assurance that...

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