Where To Report Waste

Fraud, Abuse, Or Retaliation

HRSA Made COVID-19 Uninsured Program Payments to Providers on Behalf of Individuals Who Had Health Insurance Coverage and for Services Unrelated to COVID-19

Submitting OIG:

Department of Health & Human Services OIG

Date Issued:

Thursday, July 13, 2023

Agency Reviewed / Investigated:

Department of Health & Human Services

Submitting OIG-Specific Report Number:

A-02-21-01013

Component, if applicable:

Health Resources and Services Administration

Health Resources and Services Administration

Location(s):

United States

Type of Report:

Audit

Special Projects:

Questioned Costs:

$294,294

Funds for Better Use:

$0

Number of Recommendations:

3

Report updated under NDAA 5274:

No

View Document:

Attachment	Size
22101013.pdf	3.28 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation	Additional Details
23-A-02-088.01	Open	No
We recommend that HRSA recover the $294,294 in improper UIP payments identified in our sample.
23-A-02-088.02	Open	No
We recommend that HRSA identify additional improper UIP payments for services provided to insured individuals or services unrelated to COVID-19, which we estimate to be $783.6 million, and take remedial action.
23-A-02-088.03	Open	No
We recommend that HRSA commit to strengthening its procedures that may apply to future programs of a similar nature to expand insurance verifications using additional data fields on each patient for whom an SSN is not submitted as part of a prepayment check or postpayment review process to identify potential exact matches for health insurance coverage, ensure data sources used to verify health insurance coverage are reliable, and develop in a timely manner an assessment strategy to ensure claims are appropriately reimbursed to providers.