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Abbreviation
VA
Agencies
Department of Veterans Affairs
Federal Agency
Yes
Location

United States

What to Report to the OIG Hotline

The Hotline accepts tips or complaints that, on a select basis, result in reviews of: • VA-related criminal activity • Systemic patient safety issues • Gross mismanagement or waste of VA resources • Misconduct by senior VA officials The VA OIG investigates substantial allegations of whistleblower reprisal against employees of VA contractors, grantees, subgrantees, and personal services subcontractors. The VA OIG reports substantiated allegations of reprisal to the employer and VA for corrective action.

What Not to Report to the OIG Hotline

The Hotline does not accept complaints that are unrelated to programs and operations of the Department of Veterans Affairs nor that are addressed in another legal or administrative forum: TYPE OF COMPLAINT WHO SHOULD YOU CONTACT Claim for VA disability and pension benefits, and ratings, appeals, or home loan issues Veterans Benefits Administration (1-800-827-1000) Claim for VA education benefits Veterans Benefits Administration (1-888-442-4551) Patient health care dispute Patient Advocate at your local VA medical facility Tort claim or other legal issue/case/claim Local VA Regional Counsel office (202-461-4900) VA billing issues - Compliance and Business Integrity 1-866-842-4357 Litigation matters Private counsel; applicable court Employee grievances, unfair labor practices, union matters Local union representative, Federal Labor Relations Authority VA employee whistleblower retaliation issues U.S. Office of Special Counsel (1-800-872-9855) Other VA employee whistleblower issues and concerns about VA employee VA Office of Accountability and Whistleblower Protection performance and accountability (855-429-6669) or (202-461-4119) Whistleblower disclosures not related to the VA U.S. Office of Special Counsel (1-800-872-9855) Discrimination and EEO complaints for VA employees, former VA employees, VA Office of Resolution Management (1-888-566-3982) and applicants for VA positions Discrimination and complaints related to the Uniformed Services Employment U.S. Department of Labor's Veterans' Employment and Training Service and Reemployment Rights Act (USERRA) and the U.S. Office of Special Counsel Personnel actions/adverse action appeals/MSPB matters U.S. Merit Systems Protection Board Disagreement with law or other political dispute Your elected legislative official

Review of Clinical Contact Centers to Assess Leadership and Oversight

2026
25-00228-214
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VHA’s VA Health Connect modernization initiative of 2020 was to transform medical facilities’ call centers into regionally managed units called clinical contact centers. The centers were expected to integrate operations and provide veterans 24-hour access to four core services by December 31, 2021...

Widespread Failures in Response to Suspected Community Living Center Resident Abuse at the VA New York Harbor Healthcare System in Queens

2025
24-01092-228
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine whether leaders and staff followed required procedures related to suspected elder abuse of a community living center (CLC) resident at the St. Albans VA Medical Center in Queens, part of the VA New York Harbor...

Inspection of Midwest District 3 Vet Center Operations

2026
24-00392-240
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered throughout Readjustment Counseling Service (RCS). This inspection evaluated leadership stability, morbidity and mortality reviews, and the high risk...

Better Controls Needed to Accurately Determine Decisions for Veterans’ Nonpresumptive Conditions Involving Toxic Exposure Under the PACT Act

2025
23-03357-156
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

In August 2022, the PACT Act significantly expanded veterans’ eligibility for benefits and services for conditions related to toxic exposure. The expansion added further complexity to VBA’s claims determination process, particularly given the voluminous guidance issued for nonpresumptive conditions...

Review of Quality of Care for Patients Seeking Acute Mental Health Care at the Lexington VA Healthcare System in Kentucky

2026
25-00349-10
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Lexington VA Healthcare System (system) in Kentucky to determine the validity of an allegation that patients seeking or receiving acute mental health treatment did not receive the care needed. The OIG substantiated...

Management of Personally Owned Insulin Pumps for Patients at Risk for Suicide in Emergency Departments and Inpatient Units

2026
25-03462-12
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) issued this brief report to highlight a concern regarding the Veterans Health Administration’s (VHA’s) lack of national guidance regarding patients who use personally owned insulin pumps to manage their diabetes and present to emergency departments or...

Healthcare Facility Inspection of the Miami VA Healthcare System in Florida

2026
25-00196-05
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Miami VA Healthcare System in Florida. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety...

Concerns Around Acute Ischemic Stroke Practice

2026
25-03401-11
Other
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) issued this preliminary result advisory memorandum to communicate a serious patient safety risk related to acute ischemic stroke (AIS) management at the Wm. Jennings Bryan Dorn VA Medical Center (facility) in Columbia, South Carolina. During a healthcare...

Review of Community Care Utilization, Delivery of Timely Care, and Provider Qualifications at the VA Boston Healthcare System in Massachusetts, Fiscal Year 2024

2026
25-02447-08
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed aspects of community care utilization at the VA Boston Healthcare System for fiscal year 2024. The system, part of Veterans Integrated Service Network 1, includes three VA medical centers and several outpatient clinics. VA direct care (provided at VA...

Healthcare Facility Inspection of the VA Louisville Healthcare System in Kentucky

2026
24-03205-235
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Louisville Healthcare System in Kentucky. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

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