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Date Issued
Submitting OIG
Department of Homeland Security OIG
Other Participating OIGs
Department of Homeland Security OIG
Agencies Reviewed/Investigated
Department of Homeland Security
Components
United States Immigration and Customs Enforcement (ICE)
Report Number
OIG-24-16
Report Description

In fiscal years 2019 through 2021, U.S. Immigration and Customs Enforcement’s (ICE) Health Service Corps (IHSC) did not always properly process and authorize major surgical procedures for noncitizens in ICE custody. Per IHSC’s process, only designated Regional Clinical Directors (RCD) or Clinical Directors (CD) are qualified to review authorizations for medical necessity and approve major surgical procedures performed by off-site providers.

Report Type
Audit
Agency Wide
Yes
Number of Recommendations
1
Questioned Costs
$0
Funds for Better Use
$0

Open Recommendations

This report has 1 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $0 $0

We recommend the Acting Director of U.S. Immigration and Customs Enforcement’s Health Services Corps develop and implement a policy requiring Regional Clinical Directors and Clinical Directors to document their review and approval of major surgical procedures in IHSC’s electronic health records system to ensure medically necessary and appropriately documented medical care for detained non-citizens.

Department of Homeland Security OIG

United States