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Website
https://oig.hhs.gov/
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
Hotline Page
https://oig.hhs.gov/fraud/report-fraud/index.asp
Whistleblower Protection Page
https://oig.hhs.gov/fraud/whistleblower/?utm_source=oig-home&utm_medium=oig-gfx…

Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions 

2017
A-03-17-00355
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Centers for Disease Control and Prevention (CDC) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also reviewed...

Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions 

2017
A-03-17-00354
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Health Resources and Services Administration (HRSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also...

Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions 

2017
A-03-17-00353
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Substance Abuse and Mental Health Services Administration (SAMHSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016...

Independent Attestation Review: National Institutes of Health Fiscal Year 2016 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions 

2017
A-03-17-00352
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the National Institutes of Health (NIH) detailed accounting submissions, which include the tables of Fiscal Year 2016 Actual Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also reviewed...

Independent Attestation Review: Indian Health Service Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions 

2017
A-03-17-00351
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Indian Health Service (IHS) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2016. We also reviewed the Performance...

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

2017
A-07-14-06050
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Colorado Department of Health Care Policy and Financing (State agency) did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. The State agency did not invoice manufacturers for rebates associated with $13 million ($6.5...

California Improperly Claimed Federal Medicaid Reimbursement for Certain Nonemergency Services 

2017
A-09-15-02020
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Qualified aliens are generally not permitted to receive Federal Medicaid benefits for 5 years from the date they enter the United States with qualified alien status. States are required to have a verification system to meet requirements for receiving Federal reimbursement for services provided to...

Louisiana Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program 

2017
A-06-15-00019
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

During the period April 1, 2013, through March 31, 2014, the Louisiana Department of Health and Hospitals (State agency) claimed Federal Medicaid reimbursement for some nonemergency medical transportation (NEMT) services claims submitted by transportation providers that did not comply with certain...

Delaware Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations 

2017
A-03-15-00202
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

For the period January 1 through December 31, 2013, the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance (State agency) did not fully comply with Federal Medicaid requirements for billing manufacturers for some rebates for physician-administered drugs...

Northside Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition 

2017
A-03-15-00012
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Northside Medical Center (The Hospital), in Youngstown, Ohio complied with Medicare billing requirements for diagnosis codes 261 and 262 for 2 of the 100 claims that we reviewed. However, the Hospital did not comply with Medicare billing requirements for the remaining 98 claims. For two of these...

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