Each month, we are pleased to share the most recent additions to the HHS Office of Inspector General (OIG) Work Plan items. Starting in June 2017 – OIG has been updating their Work Plan monthly with any new changes to the active list. Let’s take a look at the new updates from this month.  

What is the OIG Work Plan?

The HHS OIG Work Plan sets forth various projects that OIG plans to undertake during the fiscal year (FY) and beyond.

Projects listed in the Work Plan span HHS’s operating divisions, including the following: 

  • Centers for Medicare & Medicaid Services (CMS)
  • Public health agencies such as the Centers for Disease Control and Prevention (CDC)
  • National Institutes of Health (NIH)
  • Administration for Children and Families (ACF)
  • Administration for Community Living (ACL)
  • Various state and local governments – evaluating the use of federal funds as well as the administration of HHS

*Some of the projects described in the Work Plan are statutorily required.

The September agenda includes 3 new items from HHS Office of Inspector General (OIG). Let’s walk through this latest release so you can address it within your compliance program, if applicable. 

  1. ORR-Funded Facilities’ Efforts to Ensure Health and Safety of Unaccompanied Children

  2. Sufficiency and Implementation of Indian Health Service Patient Abuse Policies

  3. Specialty Drug Coverage and Reimbursement in Medicaid


ORR-Funded Facilities’ Efforts to Ensure Health and Safety of Unaccompanied Children

The U.S. Office of Refugee Resettlement (ORR) and Administration for Children and Families (ACF) operate the Unaccompanied Alien Children (UAC) program to provide unaccompanied children in custody with temporary care, shelter, and related services. HHS OIG will be identifying vulnerabilities in ORR facility efforts to protect children in their care, and provide physical and mental health services. OIG will be collecting information for this review with teams of investigators, attorneys, auditors, and more to conduct a thorough and comprehensive evaluation.


Sufficiency and Implementation of Indian Health Service Patient Abuse Policies

Indian Health Services (IHS) partners to provide healthcare services to hundreds of federally recognized tribes (including 2.3 million beneficiaries) in 7 areas with 25 acute-care hospitals. After the controversy and details surrounding a recent patient abuse conviction of a former physician – Stanley Patrick Weber, MD, IHS adopted new policies in regard to patient care and abuse. 

HHS OIG will be evaluating the implementation and sufficiency of these patient abuse policies and procedures for IHS hospitals and compare them to the policies from nationally recognized medical professional organizations.


Specialty Drug Coverage and Reimbursement in Medicaid

Because there is no standard definition for “specialty drugs” in each state, and the Medicaid spending for these items has swiftly increased, HHS OIG will be reviewing state definitions for Medicaid specialty drugs and their strategies to manage drug costs. The review will describe Medicaid payment methodologies in each state and determine how much states are paying for specialty drugs. 

Find the full list of Recently Added Items on OIG’s site. Take a look at our recaps of all the archived releases by visiting the ProviderTrust Work Plan page.


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ProviderTrust Mike Rosen Cofounder

Written by Michael Rosen, Esq.

ProviderTrust Co-Founder, mrosen@providertrust.com

Michael brings over 20 years of experience founding and leading risk mitigation businesses, receiving numerous accolades such as Inc. Magazine’s Inc. 500 Award and Nashville Chamber of Commerce Small Business of the Year.

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