GAO Finds Seven Agencies Failed to Meet Payment Integrity Reporting Requirements for High Improper Payment Rates
The Government Accountability Office identified seven federal agencies with programs reporting improper payment rates of 10 percent or higher for 2-4 consecutive years from fiscal years 2021-2024, including HHS Medicaid programs. Five of seven agencies lacked documented policies to ensure timely reporting to Congress as required under the Payment Integrity Information Act of 2019. GAO found that OMB guidance does not direct noncompliant agencies to submit required annual reports, limiting congressional oversight. The report recommends agencies establish formal procedures to ensure compliance with PIIA reporting requirements for programs with persistent improper payment issues.
Medicaid consistently ranks among federal programs with the highest improper payment rates, and GAO's finding that agencies lack reporting procedures suggests continued gaps in oversight and accountability that affect managed care integrity efforts and federal-state payment accuracy initiatives.
Managed Care · Finance
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