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OIG September 2018 Work Plan Update

Health Law Alert

The OIG added two new items to its Work Plan in the September 2018 update: (1) a review of opioid use in the Indian Health Service (IHS), and (2) a follow-up review of a New York Head Start grantee.

First, with respect to opioid use in the IHS, the OIG indicated its intent to determine the "extent to which beneficiaries are receiving extreme amounts of opioids through IHS, as well as IHS-employed prescribers and IHS-run pharmacies that have questionable prescribing or dispensing patterns." The OIG further noted that its review will evaluate how IHS "prevents and detects opioid misuse or abuse" and "enforces its opioid-related policies." The OIG's review is consistent with the agency's increasing focus on opioid abuse and overdose deaths.

Second, relating to the Head Start review, the OIG noted that it will be auditing a community-based, not-for-profit Head Start grantee to determine whether all Head Start costs claimed by the grantee were permissible under federal law and the terms of the grant. The Administration for Children and Families requested that the OIG perform this audit due to the grantee's "high risk of noncompliance with federal requirements."

Announced Agency Title Component Report Number(s)
September 2018 Indian Health Services Review of Opioid Use in Indian Health Service Office of Evaluation and Inspections OIE-05-18-00470
September 2018 Administration for Children and Families Follow-up Review of Head Start Grantee Office of Audit Services W-00-17-20009
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