Telecom Argentina S A : Spreadsheets TEO 4Q22.xlsx

DEPARTMENT

of HEALTH

and HUMAN

SERVICES

Fiscal Year

2024

Office of Inspector General

Justification of Estimates for Congress

A Message From Inspector General Christi A. Grimm

I am pleased to present the Department of Health and Human Services (HHS or the Department), Office of Inspector General (OIG) fiscal year (FY) 2024 budget request. OIG would use requested funding to protect the integrity, effectiveness, and efficiency of more than 100 HHS programs as well as the health and welfare of the people they serve.

For FY 2024, OIG requests a total of $514.8 million for independent, objective oversight of HHS programs. The request includes $123.3 million for oversight of HHS's Public Health and Human Services (PHHS) programs and $391.5 million for oversight of the Medicare and Medicaid programs, including Health Care Fraud and Abuse Control (HCFAC) Program activities and law enforcement activities coordinated with HHS and the Department of Justice.

With the requested FY 2024 resources, OIG would continue to conduct mission-critical oversight and enforcement to combat fraud, waste, and abuse in HHS programs through, for example, the detection of fraud schemes, misspent funds, and improper payments. The requested resources would advance OIG's longstanding oversight in key PHHS areas including the health and safety of infants and children served by HHS programs; the quality, safety, and integrity of services provided by public health programs; and grants and contracts management. OIG would continue its extensive oversight of the Medicare and Medicaid programs, focusing on key areas such as improving nursing homes; ensuring the integrity of growing managed care programs; addressing high costs of prescription drugs; and advancing access to care while reducing disparities. Across our work, we use a risk-based approach to target high-impact opportunities to improve health, promote well-being, enhance program integrity, and identify potential savings.

Additionally, the FY 2024 budget includes rebasing essential mandatory HCFAC funding for investigative, enforcement, and oversight activities to address urgently needed resources, including OIG criminal investigative agents, to combat serious health care fraud and abuse in Medicare, Medicaid, and the Children's Health Insurance Program. Furthermore, resources requested in the FY 2024 budget would support new investment in OIG's oversight of HHS's emergency preparedness, response, and recovery activities, and in enforcement activities targeting emergency-related fraud and abuse.

OIG delivers positive results for the American people. OIG holds accountable bad actors who harm people and steal from taxpayer-funded programs. OIG's audits and evaluations identify program weaknesses and recommend program improvements. OIG uses data analytics to identify trends and potential program vulnerabilities. To foster compliance and integrity, OIG produces guidance and other resources for industry stakeholders. The FY 2024 budget request would enable OIG to remain an agile organization that pivots quickly to address emerging oversight needs.

OIG appreciates the continued support of Congress and HHS to advance the OIG mission to protect the health and well-being of all Americans.

/s/

Christi A. Grimm

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Inspector General
Table of Contents
A Message From Inspector General Christi A. Grimm	2
AGENCY OVERVIEW	6
Mission, Vision, and Values	6
Organizational Chart	7
Organizational Components	8
SECTION I: EXECUTIVE SUMMARY	11
Preface to FY 2024 Budget Request	11
FY 2024 Budget Request Overview	14
Overview of Performance	16
All Purpose Table	17
Appropriations Language	18
Nonrecurring Expenses Fund (NEF)	19
SECTION II: BUDGET EXHIBITS	22
Summary of Changes	22
Budget Authority by Activity	23
Amounts Available for Obligation	24
Program Authorization Legislation	25
Appropriations History	26
SECTION III: BUDGET NARRATIVES	29
Adjustments to Base Funding Requirements	29
PHHS Oversight and Enforcement	31
Initiative: Emergency Preparedness, Response, and Recovery	32
HCFAC Oversight and Enforcement	39
SECTION IV: SUPPORTING EXHIBITS	45
Object Classification Tables	45
Detail of FTE	53
Detail of Positions	54
Resources for Cyber Activities	56
Recent Accomplishments	57
Performance for Priority Outcomes	62
Physicians' Comparability Allowance	78
SECTION V: OIG SPECIAL REQUIREMENTS	79

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Acronyms

ACF	Administration for Children and Families
ACL	Administration for Community Living
ARP	American Rescue Plan
AHRQ	Agency for Healthcare Research and Quality
AI/AN	American Indian and Alaska Native
BA	Budget Authority
CDC	Centers for Disease Control and Prevention
FDA	Food and Drug Administration
FTE	Full Time Equivalent
FY	Fiscal Year
HCFAC	Health Care Fraud and Abuse Control
HHS	Department of Health and Human Services
HRSA	Health Resources and Services Administration
IIJA	Infrastructure Investment and Jobs Act
IT	Information Technology
MSI	Mission Support and Infrastructure
NIH	National Institutes of Health
OAS	Office of Audit Services
OCIG	Office of Counsel to the Inspector General
OEI	Office of Evaluation and Inspections
OI	Office of Investigations
OIG	Office of Inspector General
OMP	Office of Management and Policy
PB	President's Budget
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