What's New
July 2026
07-24-2026
07-22-2026
- Updated CMP and Affirmative Exclusions | EMTALA/Patient Dumping
- Wisconsin Physicians Service Insurance Corporation Made Incorrect Medicare Payments to Providers for Outpatient Services A-07-24-04138
07-21-2026
- States Have Missed Some Opportunities to Improve Medicaid Managed Care Organizations’ Provider Fraud Referrals OEI-03-23-00340
- Colorado Could Improve Its Electronic Visit Verification System and Claimed Federal Medicaid Reimbursement for Millions of Dollars in Personal Care Services That Did Not Comply With Federal and State Requirements A-07-24-03260
07-20-2026
07-17-2026
07-16-2026
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Findings of Whistleblower Retaliation by Administration for Children and Families Subcontractor Management
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2025 in Accordance With Federal Requirements OAS-26-04-062
07-15-2026
07-14-2026
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Advisory Opinion 26-16: Favorable opinion regarding a federally qualified health center’s provision of produce boxes and produce vouchers to a group of patients who have been diagnosed with certain health conditions.
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New Corporate Integrity Agreement: Advanced Pathology Solutions
07-13-2026
07-10-2026
- LEIE Database Updated with June 2026 Exclusions and Reinstatements
- Updated: CMP and Affirmative Exclusions
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Watch Now! This Week at HHS-OIG: July 10, 2026
07-08-2026
07-06-2026
07-02-2026
- Watch Now! This Week at HHS-OIG: July 3, 2026
- 2026 MFCU Recertification Letters Update
- Part D Plans Generally Include Drugs Commonly Used by Dual-Eligible Enrollees: 2026 OEI-05-26-00150
07-01-2026
June 2026
06-30-2026
- Florida Medicaid Fraud Control Unit: 2025 Inspection OEI-06-25-00150
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Advisory Opinion 26-15: Unfavorable opinion requested regarding a home health agency’s payment of remuneration to a vendor for the use of an online referral management software. manufacturer.
06-26-2026
06-24-2026
06-23-2026
- Medicare Could Have Saved $255.1 Million Related to Hospice Services for Certain New Hospice Enrollees A-06-22-09003
- 2026 Nationwide Health Care Fraud Takedown
06-18-2026
- Watch Now! This Week at HHS-OIG: June 18, 2026
- CMS’s Processes Were Not Effective in Ensuring the Accuracy of Staffing Information Reported in the Payroll-Based Journal A-09-24-02005
- North Dakota Could Better Ensure That Providers Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at 44 Residential Settings A-07-24-04137
06-17-2026
- Jefferson Regional Medical Center Received at Least $4.7 Million in Medicare Overpayments A-04-22-07101
- Updated: CMP and Affirmative Exclusions
06-16-2026
- Inaccurate Medicaid Managed Care Provider Directories May Limit Enrollees’ Access to Maternal Health Care OEI-05-24-00090
- Inaccurate Medicaid Managed Care Network Lists May Compromise State Oversight of Access to Maternal Health Care OEI-05-24-00091
06-15-2026
- Work Plan Monthly Update: June 2026
- Advisory Opinion 26-14 : Favorable opinion regarding a program operated by a pharmaceutical manufacturer to sponsor antibody testing for eligible patients to determine whether it may be appropriate to
- A Small Southeastern Hospital Had Effective Cybersecurity Controls To Prevent, Detect, and Respond To Cyberattacks OAS-25-18-033
06-12-2026
- Watch Now! This Week at HHS-OIG: June 12, 2026
- Congressional Mandate: Part B Billing Codes for Six Drugs Included Noncovered Self-Administered Versions During January 2025 – March 2026 OEI-BL-26-00200
06-11-2026
- New Corporate Integrity Agreement: Community Care Health Network LLC d/b/a Matrix Medical Network
- Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials for Skilled Nursing Facility Admission, Raising Concerns About Initial Denials OEI-09-24-00331
- The Three Largest Medicare Advantage Organizations Denied Requests for Long-Term Acute Care and Inpatient Rehabilitation at Some of the Highest Rates OEI-09-24-00330
- California Made at Least $13.9 Million More in Medicaid Reimbursements for Clinical Diagnostic Laboratory Services Than Was Allowed by Federal and State Requirements OAS-25-01-076
- Community Behavioral Health Did Not Comply With Requirements When Denying Prior Authorization Requests A-03-24-00204
06-10-2026
- The Office of Refugee Resettlement Needs To Improve Its Monitoring of Unlicensed Unaccompanied Alien Children Program Care Providers’ Compliance With Background Check Requirements A-06-24-07001
- New Corporate Integrity Agreement: Tatyana Kolesnikova and Tatyanas Case Management, LLC
- LEIE Database Updated with May 2026 Exclusions and Reinstatements
06-09-2026
- Updated: Fraud Self-Disclosures
- Advisory Opinion 26-13 : Favorable opinion regarding an arrangement pursuant to which a pharmaceutical manufacturer provides free eye drops to mitigate ocular toxicity for patients using one of its pr
06-08-2026
- CMS Should Improve Its Policies and Procedures for the Oversight of States’ Reported Medicaid Expenditures to Better Protect the Financial Integrity of the Medicaid Program A-06-23-09006
- New Corporate Integrity Agreement: Family Health Care Associates, LLC
06-05-2026
- Lehigh Valley Hospital Received At Least $17.8 Million in Medicare Overpayments A-03-23-00001
- Watch Now! This Week at HHS-OIG: June 5, 2026
06-04-2026
06-01-2026
May 2026
05-29-2026
- Watch Now! This Week at HHS-OIG: May 29, 2026
- Job Posting: Advice Associate and Senior Counsel (1+ positions - open until filled)
05-28-2026
05-22-2026
- Connecticut Did Not Always Ensure Selected Nursing Homes Complied With Federal and State Background Check Requirements OAS-25-01-035
- Watch Now! This Week at HHS-OIG: May 22, 2026